Individual
JOHNNETTA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1226 ROYAL DR SW, SUITE 100, CONYERS, GA 30094-5925
(678) 571-0937
Mailing address
1226 ROYAL DR SW, CONYERS, GA 30094-5925
(678) 571-0937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
291734
GA
101YP2500X
Professional Counselor
Primary
LPC008575
GA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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