Dr. Larry Norman Johannessen, PHDMSWLCSWMDIV
Dr. Larry Norman Johannessen, PHDMSWLCSWMDIV is a Social Worker in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.
- Licensed in
- NC
- In the registry since
- 2008
Practice location Address checks out
825 Gumbranch Rd Ste 109Jacksonville, NC 28540
Phone: (910) 455-5551
Fax: (910) 938-2556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence C003820 (NC) |
|---|
Record details
| NPI number | 1043488703 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHDMSWLCSWMDIV |
| Sole proprietor | No |
| NPI enumerated | February 15, 2008 |
| Last updated in NPPES | February 15, 2008 |
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