Individual
CONSTANCE TONYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
724 MILLER LN, EAST DUBLIN, GA 31027-2388
(478) 290-3833
Mailing address
724 MILLER LN, EAST DUBLIN, GA 31027-2388
(478) 290-3833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010699
GA
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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