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1053902205
THEA VICTORIA JONES JOHNSON
DURHAM, NC
NPI
1053902205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A16041)
Enumeration Date
2021-01-31
Last Update Date
2021-01-31
Business Address
THEA VICTORIA JONES JOHNSON
3711 UNIVERSITY DR STE C
DURHAM, NC 27707-6205
Phone number: 919-405-2700
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Mailing Address
THEA VICTORIA JONES JOHNSON
2721 SADDLE DR
DURHAM, NC 27712-1823
Phone number: 919-824-5520
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