Organization
CENTER FOR CLINICAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA L JOHNSON PHD LPC (OWNER)
(706) 526-7717
Entity
Organization
Contact information
Practice address
630 ELLIS ST STE 3A, AUGUSTA, GA 30901-1464
(706) 526-7717
Mailing address
630 ELLIS ST STE 3A, AUGUSTA, GA 30901-1464
(706) 526-7717
(706) 755-2860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
GA
Other
Enumeration date
08/09/2018
Last updated
05/30/2024
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