Individual
DR. JUSTINA YOHANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 NORTHSIDE XING, MACON, GA 31210-2376
(248) 953-8147
Mailing address
133 SPRINGFIELD BLVD, MACON, GA 31210-1674
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38686
TX
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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