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Individual

MRS. CHARLENE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2022 15TH AVE, COLUMBUS, GA 31901-1608
(706) 649-6500
(706) 649-6521
Mailing address
2022 15TH AVE, COLUMBUS, GA 31901-1608
(706) 649-6500
(706) 649-6521

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002812
GA

Other

Enumeration date
01/05/2007
Last updated
05/30/2008
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