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Individual
KATINA R JOHNSON-PEASE
Active
Individual
KATINA R JOHNSON-PEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401015788
MI
101YM0800X
Mental Health Counselor
APC002573
GA
101YM0800X
Mental Health Counselor
Primary
LPC007217
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/07/2012
Last updated
08/17/2018
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