Provider Demographics
NPI:1437101961
Name:JOHNSON, KARRI LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:KARRI
Middle Name:LYNN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7787 HENDERSON MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-5927
Mailing Address - Country:US
Mailing Address - Phone:225-454-7083
Mailing Address - Fax:678-909-0441
Practice Address - Street 1:1875 OLD ALABAMA RD STE 840
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2267
Practice Address - Country:US
Practice Address - Phone:225-454-7083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional