Individual
KATHY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
940 GA HWY 96, WARNER ROBINS, GA 31088-2587
(478) 988-1222
(478) 988-1050
Mailing address
940 A GA HWY 96, WARNER ROBINS, GA 31088-2587
(478) 988-1222
(478) 988-1050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC006688
GA
101YM0800X
Mental Health Counselor
Primary
LPC006688
GA
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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