Individual
JOHANNA WENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
3116 MAPLE DR NE, ATLANTA, GA 30305-2608
(404) 981-3235
Mailing address
6701 CASTLETON DR, SANDY SPRINGS, GA 30328-2003
(443) 852-4489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004086
GA
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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