Individual
KHYALE LAMONA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 RIVER RD, ELLENWOOD, GA 30294-1128
(678) 874-3902
Mailing address
273 CENTENNIAL RIDGE DR, CONYERS, GA 30013-1518
(404) 859-0469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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