Individual
CHANDRA FAYE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1773 N UMBERLAND WAY SE, ATLANTA, GA 30316-3797
(202) 409-7638
Mailing address
1773 N UMBERLAND WAY SE, ATLANTA, GA 30316-3797
(202) 409-7638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006945
GA
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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