Individual
JADE JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, M. ED.
Contact information
Practice address
GOAL MENTALITY, LLC, 10375 FORD AVE BUILDING A, SUITE 3, RICHMOND HILL, GA 31324
(912) 500-5800
Mailing address
GOAL MENTALITY, LLC, 10375 FORD AVE BUILDING A, SUITE 3, RICHMOND HILL, GA 31324
(912) 500-5800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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