Johnson, Nathaniel

Johnson, Nathaniel is an sole proprietor health care provider with primary practice located at 612 Beretta Dr , Grovetown GA 30813-2198. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Johnson, Nathaniel can be contacted via phone (706) 294-3273.

Contact Information

Primary practice address
612 Beretta Dr Grovetown GA 30813-2198
Phone: (706) 294-3273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC006859 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC006859 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006859 Georgia

Profile Details

NPI number 1700493798
LBN Legal business name Johnson, Nathaniel
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2020
Last updated Sep 24th, 2020 - about 5 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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