Individual
MARY JAMES (JAMIE) JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1100 SPRING STREET, SUITE 380, ATLANTA, GA 30309
(404) 804-6289
Mailing address
1100 SPRING STREET, SUITE 380, ATLANTA, GA 30309
(404) 804-6289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC009288
GA
101YM0800X
Mental Health Counselor
LPC009288
GA
Other
Enumeration date
01/04/2018
Last updated
07/21/2022
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