Individual
JENNIFER M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 FELTON PL, SUITE A, CARTERSVILLE, GA 30120-2153
(770) 386-8996
Mailing address
17 FELTON PL, SUITE A, CARTERSVILLE, GA 30120-2153
(770) 386-8996
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003974
GA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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