Chaka Johnson
NPI #1164186680 in Fort Valley, Georgia
Provider Information
- NPI Number
- 1164186680
- Entity Type
- Individual
- Name
- Chaka Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 30, 2021
- Last Updated
- Oct 30, 2021
Practice Location
- Address
- 1538 CAMP JOHN HOPE RD
- City
- Fort Valley
- State
- Georgia
- ZIP Code
- 31030-6480
- Phone
- (478) 244-9187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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