Individual
ANGELIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(334) 384-1376
Mailing address
592 HIGH DR, OPELIKA, AL 36804-3233
(803) 518-1504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011980
GA
Other
Enumeration date
02/03/2021
Last updated
10/19/2021
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