Individual
LOGAN DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
(762) 204-2608
Mailing address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
12/12/2024
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