Individual provider · Type 1 NPI
Nathaniel Johnson, LPC
Professional Counselor · Grovetown, GA
NPI number
1700493798
Active
Practice location
612 Beretta Dr
Grovetown, GA 30813-2198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Counselor | 101Y00000X | LPC006859 (GA) |
| Mental Health Counselor | 101YM0800X | LPC006859 (GA) |
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor Primary | 101YP2500X | LPC006859 (GA) |
Professional Counselor: Definition to come...
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About NPI 1700493798
Nathaniel Johnson, LPC's National Provider Identifier is 1700493798, issued on Sep 24, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grovetown, GA. The record was last updated on Sep 24, 2020.