Individual
MRS. CATHRYN B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 CLEVELAND AVE, 614, ATLANTA, GA 30315
(404) 767-3303
(404) 767-3304
Mailing address
777 CLEVELAND AVE, 614, ATLANTA, GA 30315
(404) 767-3303
(404) 767-3304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSW001587
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSW1587
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000649305C
—
GA
Enumeration date
09/26/2006
Last updated
02/24/2010
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