Johnson, Charryse

Johnson, Charryse is an individual health care provider with primary practice located at 5970 Fairview Rd Ste 420 , Charlotte NC 28210-3167. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Charryse can be contacted via phone (980) 236-1511.

Contact Information

Primary practice address
5970 Fairview Rd Ste 420 Charlotte NC 28210-3167
Phone: (980) 236-1511
Fax: (704) 919-5460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 11709 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11709 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 11709 North Carolina

Profile Details

NPI number 1740658376
LBN Legal business name Johnson, Charryse
Credentials MA, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Dec 27th, 2019 - about 7 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 1740658376 NPPES
North Carolina Other 11709 LICENSE NUMBER

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