Johnston Counseling Services | |
113 N 3rd St Smithfield NC 27577-3939 | |
(919) 938-0921 | |
(919) 938-3807 |
Full Name | Johnston Counseling Services |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 113 N 3rd St, Smithfield, North Carolina |
Authorized Official Name and Position | Anthony Martin Woodall (OWNER) |
Authorized Official Contact | 9199380921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Johnston Counseling Services Po Box 1835 Smithfield NC 27577-1835 Ph: () - | Johnston Counseling Services 113 N 3rd St Smithfield NC 27577-3939 Ph: (919) 938-0921 |
NPI Number | 1184843757 |
---|---|
Provider Enumeration Date | 04/24/2007 |
Last Update Date | 05/20/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184843757 | NPI | - | NPPES |
2076854 | Other | NC | CIGNA |
577331 | Other | VALUE OPTIONS | |
1165Y | Other | NC | BCBSNC INDIVIDUAL |
6102389 | Medicaid | NC | |
0177C | Other | NC | BCBSNC GROUP |
186858 | Other | NC | MEDCOST |
543707000 | Other | MAGELLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 632 (North Carolina) | Primary |
101YP2500X | Counselor - Professional | 3041 (North Carolina) | Secondary |
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