Individual provider · Type 1 NPI
Johnathan Antonio Brunson, LCAS-A
Addiction (Substance Use Disorder) Counselor · Wilson, NC
NPI number
1124477658
Active
Practice location
3011 Nc Highway 42 W, Suite G
Wilson, NC 27893
Fax (252) 991-3993
Mailing address
307 Beech St
Goldsboro, NC 27530-2818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1124477658
Johnathan Antonio Brunson, LCAS-A's National Provider Identifier is 1124477658, issued on Jun 6, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilson, NC. The record was last updated on Aug 4, 2020.