Provider Demographics
NPI:1710748405
Name:TERESA JOHNSON
Entity Type:Organization
Organization Name:TERESA JOHNSON
Other - Org Name:JOHNSON'S COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO - COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:CADC-23192
Authorized Official - Phone:919-930-3042
Mailing Address - Street 1:450 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27574-3325
Mailing Address - Country:US
Mailing Address - Phone:919-225-3303
Mailing Address - Fax:
Practice Address - Street 1:737 DURHAM RD
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-5607
Practice Address - Country:US
Practice Address - Phone:919-930-3042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)