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NPI Code Detail

MEDICARE: LYNN LORRAINE JOHNSON-REED LCMHC

MEDICARE: LYNN LORRAINE JOHNSON-REED LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7874NC
2101YS0200XSchool CounselorNC
3101YA0400XAddiction (Substance Use Disorder) CounselorNC
4101YM0800XMental Health Counselor7874NC

General Provider Information

NPI Number : 1164727590
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN LORRAINE JOHNSON-REED LCMHC
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13815 PROFESSIONAL CENTER DR STE 100
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7951
Country : US
Telephone Number : 704-384-1320
Fax Number : 704-316-3138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2011
Last Update Date : 01/10/2024

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