Individual
MOANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
2037 WEEMS RD APT 6201, TUCKER, GA 30084-5263
(240) 883-2624
Mailing address
2552 PIERCE CIR, SNELLVILLE, GA 30078-5765
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LCM1083
MD
106H00000X
Marriage & Family Therapist
Primary
MFT002115
GA
Other
Enumeration date
10/01/2020
Last updated
05/19/2025
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