Individual
ROSALYN A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2704 N OAK ST, BUILDING B-3, VALDOSTA, GA 31602-1744
(229) 257-0100
(229) 257-0050
Mailing address
2704 N OAK ST, BUILDING B-3, VALDOSTA, GA 31602-1744
(229) 257-0100
(229) 257-0050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000965
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466251661A
—
GA
Enumeration date
08/09/2006
Last updated
07/08/2007
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