Individual provider · Type 1 NPI
Georgia Marie Johnson, LPCC, LPC, RTC
Professional Counselor · Fargo, ND
NPI number
1376803957
Active
Practice location
2624 9th Ave S
Fargo, ND 58103-2350
Fax (701) 298-4400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1376803957
Georgia Marie Johnson, LPCC, LPC, RTC's National Provider Identifier is 1376803957, issued on May 17, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fargo, ND. The record was last updated on Apr 8, 2021.