Individual
JOHANNA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
415 GOLD NUGGET LN, BLAIRSVILLE, GA 30512-3583
(828) 557-6972
Mailing address
415 GOLD NUGGET LN, BLAIRSVILLE, GA 30512-3583
(828) 557-6972
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001914
GA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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