JOHNNIE GORDON

DOUGLASVILLE, GA
NPI1134964562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  APC009766)
Enumeration Date2024-06-27
Last Update Date2024-06-27
Business Address
JOHNNIE GORDON
8471 NEWMAN ST
DOUGLASVILLE, GA 30134-2420
Phone number: 678-386-1338
Mailing Address
JOHNNIE GORDON
220 SUMMER CREEK DR
DALLAS, GA 30157-7653
Phone number: