Individual
ANTHEA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3295 RIVER EXCHANGE DR STE 568, NORCROSS, GA 30092-4241
(404) 410-6317
(404) 745-0567
Mailing address
PO BOX 303, NORCROSS, GA 30091-0303
(501) 213-5220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A1303039
AR
101YM0800X
Mental Health Counselor
LPC010022
GA
101YP2500X
Professional Counselor
Primary
LPC010022
GA
Other
Enumeration date
05/21/2013
Last updated
03/25/2025
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