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Individual
SHELIDA STUART JOHNSON
Active
Individual
SHELIDA STUART JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC014146
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
000000000
GA
01
—
LPC014146
LICENSED PROFESSIONAL COUNSELOR
GA
Enumeration date
11/12/2020
Last updated
12/28/2023
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