Individual provider · Type 1 NPI

Bianca Johnson

Professional Counselor · Loganville, GA

NPI number 1760062483 Active

Practice location

142 Blue Creek Ln
Loganville, GA 30052-8225

Call (678) 732-4685 Map

Mailing address

PO Box 390934
Snellville, GA 30039-0016

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XAPC007225 (GA)
Professional Counselor Primary 101YP2500XLPC014784 (GA)

Professional Counselor: Definition to come...

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About NPI 1760062483

Bianca Johnson's National Provider Identifier is 1760062483, issued on Apr 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Loganville, GA. The record was last updated on Mar 13, 2025.