Provider Demographics
NPI:1376220244
Name:JOHNSON, HANNAH JOYCE (MS, LCMHCA, NCC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOYCE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MS, LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1499
Mailing Address - Country:US
Mailing Address - Phone:919-229-9834
Mailing Address - Fax:
Practice Address - Street 1:871 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1499
Practice Address - Country:US
Practice Address - Phone:919-229-9834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18863101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health