Individual
KEISHA H JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7130 MOUNT ZION BLVD STE 7, JONESBORO, GA 30236-2566
(678) 610-4497
(678) 610-0404
Mailing address
7130 MOUNT ZION BLVD STE 7, JONESBORO, GA 30236-2566
(678) 610-4497
(678) 610-0404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004077
GA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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