Individual
ANGELIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 VALENTINE RD NE, MILLEDGEVILLE, GA 31061-8855
(478) 456-9295
Mailing address
110 VALENTINE RD NE, MILLEDGEVILLE, GA 31061-8855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010822
GA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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