Individual
HOLLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 RUSSELL PKWY STE A, WARNER ROBINS, GA 31088-7690
(478) 225-9860
Mailing address
105 HUNTINGTON PL, BONAIRE, GA 31005-4726
(478) 442-2125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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