Johnson, Cathryn B

Johnson, Cathryn B is an sole proprietor health care provider with primary practice located at 777 Cleveland Ave 614, Atlanta GA 30315. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Cathryn B can be contacted via phone (404) 767-3303.

Contact Information

Primary practice address
777 Cleveland Ave 614 Atlanta GA 30315
Phone: (404) 767-3303
Fax: (404) 767-3304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSW1587 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSW001587 Georgia

Profile Details

NPI number 1316048812
LBN Legal business name Johnson, Cathryn B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Feb 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316048812 NPPES
Georgia MEDICAID 000649305C

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