Johnson, Colin Maurice

Johnson, Colin Maurice is an individual health care provider with primary practice located at 1000 N 1St St , Albemarle NC 28001-2833. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Johnson, Colin Maurice can be contacted via phone (704) 983-2117.

Contact Information

Primary practice address
1000 N 1St St Albemarle NC 28001-2833
Phone: (704) 983-2117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3775 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1464 North Carolina

Profile Details

NPI number 1528127404
LBN Legal business name Johnson, Colin Maurice
Credentials L.P.C. LCAS CSI
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Jul 24th, 2013 - about 13 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 1528127404 NPPES
North Carolina MEDICAID 6103433

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