Individual
JADE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3217 S CHEROKEE LN STE 730, WOODSTOCK, GA 30188-7053
(678) 694-1573
Mailing address
1889 HAMBY PLACE DR NW, ACWORTH, GA 30102-6461
(678) 595-3718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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