| Michelle Johnson | |
|
175 Gwinnett Dr Lawrenceville GA 30046-8444 | |
| (678) 209-2394 | |
| (678) 212-6343 |
| Full Name | Michelle Johnson |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 175 Gwinnett Dr, Lawrenceville, Georgia |
| Authorized Official Name and Position | Michelle Johnson (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6785248214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Johnson 683 Utoy Court Jonesboro GA 30238 Ph: (678) 524-8214 | Michelle Johnson 175 Gwinnett Dr Lawrenceville GA 30046-8444 Ph: (678) 209-2394 |
| NPI Number | 1467861138 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467861138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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