Johnnie Gordon
NPI #1134964562 in Douglasville, Georgia
Provider Information
- NPI Number
- 1134964562
- Entity Type
- Individual
- Name
- Johnnie Gordon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 27, 2024
- Last Updated
- Jun 27, 2024
Practice Location
- Address
- 8471 NEWMAN ST
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134-2420
- Phone
- (678) 386-1338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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