Individual provider · Type 1 NPI
Jeremiah Johnson
Professional Counselor · Riverdale, GA
NPI number
1346886686
Active
Practice location
7430 Royale Ln
Riverdale, GA 30296-7223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1346886686
Jeremiah Johnson's National Provider Identifier is 1346886686, issued on Nov 21, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Riverdale, GA. The record was last updated on Nov 21, 2019.