Yaka Johnson LPC

NPI 1225317076 - Counselor - 101YP2500X

NPI Details
NPI 1225317076
Gender Female
Enumeration Date 08/11/2011
Last Updated 08/11/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
MACON GA, 31210-2521, US
Phone (478) 757-4800
Fax (478) 757-4888
Business Location
3665 CLUB DR
STE 107
DULUTH GA, 30096-1806, US
Phone (678) 288-6550
Fax (800) 609-0965
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC005994
Remove 1225317076 NPI Number

According to our database, Yaka Johnson LPC NPI is 1225317076, taxonomy code is 101YP2500X and license number is LPC005994, license state is located at Georgia. Yaka Johnson LPC physically located at 3040 Riverside Dr, Macon GA, 31210-2521. NPI Number Yaka Johnson LPC has the Individual type.

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1225317076 NPI number is provided on an as is basis without warranty of any kind. 1225317076 is maintained by the National Plan & Provider Enumeration System. The contents of Yaka Johnson LPC are for informational purposes only.