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NPI Code Detail

MEDICARE: SARAH ANN JOHNSON LMFTA

MEDICARE: SARAH ANN JOHNSON LMFTA
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
1106H00000XMarriage & Family Therapist10078ANC

General Provider Information

NPI Number : 1073374716
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ANN JOHNSON LMFTA
Provider Business Mailing Address
First Line : 713 RIDGETOP WAY
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-5521
Country : US
Telephone Number : 912-655-5882
Fax Number :
Provider Business Practice Location Address
First Line : 2000 S MAIN ST
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9335
Country : US
Telephone Number : 919-521-0665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2024
Last Update Date : 01/19/2024

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Directions to “ SARAH ANN JOHNSON LMFTA” Practice Location

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