Individual
MS. PATRICIA ANTONIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
2627 SANDY PLAINS RD STE 101, SUITE B, MARIETTA, GA 30066-4288
(770) 977-0313
(770) 977-6761
Mailing address
2627 SANDY PLAINS RD STE 101, MARIETTA, GA 30066-4288
(770) 977-0313
(770) 977-6761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001262
GA
101YM0800X
Mental Health Counselor
Primary
001262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000966435B
—
GA
Enumeration date
07/26/2006
Last updated
01/17/2014
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