Individual
MISS STEPHANIE DAWN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-5496
Mailing address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-5496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009640
GA
101YP2500X
Professional Counselor
009640
GA
Other
Enumeration date
12/20/2024
Last updated
04/07/2025
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