Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnathan Antonio Brunson, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124477658

Johnathan Antonio Brunson, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Wilson, North Carolina. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

3011 Nc Highway 42 W Ste G
Wilson, NC 27893
Phone: (252) 991-3985
Fax: (252) 991-3993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1124477658
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorNo
NPI enumeratedJune 6, 2016
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address307 Beech St, Goldsboro, NC 27530-2818

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