Individual
LATASHA TAMEKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9106 MCNAIR RD, ROXIE, MS 39661-9324
(404) 457-7029
Mailing address
9106 MCNAIR RD, ROXIE, MS 39661-9324
(404) 457-7029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007747
GA
Other
Enumeration date
06/30/2019
Last updated
06/30/2019
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