Individual
MRS. COURTNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 WHITLOCK AVE SW, SUITE H-11, MARIETTA, GA 30064-3000
(678) 398-9142
(678) 398-9065
Mailing address
1429 CASTLEBROOKE WAY, MARIETTA, GA 30066-4218
(678) 488-8877
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008745
GA
Other
Enumeration date
02/17/2016
Last updated
08/17/2016
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