Johnson, Kerrie Lynn

Johnson, Kerrie Lynn is an sole proprietor health care provider with primary practice located at 2709 Pinedale Rd Ste B , Greensboro NC 27408-2018. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Johnson, Kerrie Lynn can be contacted via phone (336) 880-3112.

Contact Information

Primary practice address
2709 Pinedale Rd Ste B Greensboro NC 27408-2018
Phone: (336) 880-3112
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4934 North Carolina

Profile Details

NPI number 1184830465
LBN Legal business name Johnson, Kerrie Lynn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Mar 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184830465 NPPES
North Carolina MEDICAID 6103179

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