Individual provider · Type 1 NPI

Randy J. Johnson, LCMHC

Professional Counselor · Clemmons, NC

NPI number 1790745404 Active

Practice location

2235 Lewisville Clemmons Rd Ste A
Clemmons, NC 27012-9342

Call (336) 722-7266 Map

Fax (336) 201-0538

Mailing address

713 S Marshall St
Winston Salem, NC 27101-5808

Other practice locations

  • 895 State Farm Rd, Suite 508, Boone, NC 28607-4917 · (828) 264-9007

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X3008 (NC)

Professional Counselor: Definition to come...

7 other providers at this address

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About NPI 1790745404

Randy J. Johnson, LCMHC's National Provider Identifier is 1790745404, issued on Mar 25, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clemmons, NC. The record was last updated on May 3, 2023.