Individual
CHAKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1538 CAMP JOHN HOPE RD, FORT VALLEY, GA 31030-6480
(478) 244-9187
Mailing address
1538 CAMP JOHN HOPE RD, FORT VALLEY, GA 31030-6480
(478) 244-9187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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