Jeremiah Johnson

NPI #1346886686 in Riverdale, Georgia

Provider Information

NPI Number
1346886686
Entity Type
Individual
Name
Jeremiah Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Nov 21, 2019
Last Updated
Nov 21, 2019

Practice Location

Address
7430 ROYALE LN
State
Georgia
ZIP Code
30296-7223
Phone
(757) 681-6803

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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