Individual
MS. CARLA J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7373 HODGSON MEMORIAL DR, SUITE #B6-1, SAVANNAH, GA 31406-1503
(912) 660-9117
(912) 920-0100
Mailing address
121 STEEPLECHASE RD, SAVANNAH, GA 31405-1050
(912) 660-9117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC006066
GEORGIA COMPOSITE BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND THERAPIS
GA
Enumeration date
08/16/2012
Last updated
08/16/2012
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