| NPI | 1215353198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A JOHNSON Licensed Professional Counselor 404-314-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007515) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2020-04-17 |