Jade Johansen, NCC, M. ED.

NPI #1053022566 in Richmond Hill, Georgia

Provider Information

NPI Number: 1053022566
Entity Type: Individual
Name: Jade Johansen, NCC, M. ED.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: NCC, M. ED.
Enumeration Date: Dec 6, 2022
Last Updated: Dec 6, 2022

Practice Location

Address: GOAL MENTALITY, LLC
Address 2: 10375 FORD AVE BUILDING A, SUITE 3
City: Richmond Hill
State: Georgia
ZIP Code: 31324
Phone: (912) 500-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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