Individual
KEITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3707 MAIN ST, COLLEGE PARK, GA 30337-3544
(404) 483-5873
Mailing address
5905 ATLANTA HWY STE 101, ALPHARETTA, GA 30004-6025
(404) 483-5873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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