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Organization

COUNSELING AND PSYCHOLOGICAL SERVICES - ATLANTA

Active
Other names
CAPS - Atlanta
Organization subpart
No

Provider details

NPI number
Authorized official
TISHA M JOHNSON PSYD (CLINICAL PSYCHOLOGIST/OWNER)
(404) 419-7895
Entity
Organization

Contact information

Practice address
250 GEORGIA AVE SE, SUITE 205, ATLANTA, GA 30312-3046
(404) 419-7895
(404) 419-7891
Mailing address
PO BOX 950032, ATLANTA, GA 30377-2032
(404) 419-7895
(404) 419-7891

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003640
GA

Other

Enumeration date
09/04/2015
Last updated
09/04/2015
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