Individual
HENRY L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
421 12TH ST, COLUMBUS, GA 31901-2522
(706) 494-7776
(706) 494-7076
Mailing address
5045 GRANDTREE WAY, MIDLAND, GA 31820-5508
(706) 563-6947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004377
GA
Other
Enumeration date
01/18/2007
Last updated
09/09/2008
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