Provider Demographics
NPI:1043908114
Name:JOHNSON, JOE N JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:N
Last Name:JOHNSON
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 MCFARLAND STATION DR UNIT 1104
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6826
Mailing Address - Country:US
Mailing Address - Phone:770-864-4867
Mailing Address - Fax:
Practice Address - Street 1:6110 MCFARLAND STATION DR UNIT 1104
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6826
Practice Address - Country:US
Practice Address - Phone:770-864-4867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013770101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional