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Organization

MICHELLE JOHNSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELLE JOHNSON (MENTAL HEALTH COUNSELOR)
(678) 524-8214
Entity
Organization

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
683 UTOY COURT, JONESBORO, GA 30238
(678) 524-8214

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/07/2014
Last updated
08/07/2014
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