Johnson, Kim Anne

Johnson, Kim Anne is an individual health care provider with primary practice located at 311 Judges Rd Unit E, Wilmington NC 28405-3651. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Johnson, Kim Anne can be contacted via phone (910) 792-9888.

Contact Information

Primary practice address
311 Judges Rd Unit E Wilmington NC 28405-3651
Phone: (910) 792-9888
Fax: (910) 792-9883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1447288220
LBN Legal business name Johnson, Kim Anne
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 14th, 2013 - about 11 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 1447288220 NPPES
North Carolina MEDICAID 6105266

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