Individual
AUNDREA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 KENSINGTON CIR, LITHONIA, GA 30038-3234
(470) 440-0057
Mailing address
2301 KENSINGTON CIR, LITHONIA, GA 30038-3234
(470) 440-0057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582126330
—
GA
Enumeration date
06/17/2021
Last updated
06/17/2021
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