Individual
ALEXIS K JOHNSON-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMFT
Contact information
Practice address
145 GOVERNORS SQ STE A, FAYETTEVILLE, GA 30215-4861
(678) 364-1300
(678) 364-1352
Mailing address
145 GOVERNORS SQ STE A, FAYETTEVILLE, GA 30215-4861
(678) 364-1300
(678) 364-1352
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
F-1200001
OH
106H00000X
Marriage & Family Therapist
Primary
MFT001257
GA
Other
Enumeration date
09/15/2010
Last updated
11/14/2012
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