Individual
MS. CARLA J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
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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