Individual
CAITLIN MARIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
1414 DUG GAP RD, DALTON, GA 30720-5007
(706) 279-0405
Mailing address
725 MOUNTAIN LAUREL DR, CANTON, GA 30114-1272
(706) 889-3174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011311
GA
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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