person
Susan Bragdon Johansen, LPC
Mental Health Counselor in Macon, Georgia
NPI 1114014446

Susan Bragdon Johansen is a Mental Health Counselor based in Macon, GA and is specialized in Mental Health. Susan Bragdon Johansen practices in Macon, GA and has the professional credentials of LPC. The NPI Number for Susan Bragdon Johansen is 1114014446 and holds a License No. 003160 (Georgia).

The current practice location address for Susan Bragdon Johansen is 175 Emery Highway, Macon, GA and can be reached out via phone at 478-751-4446 and via fax at 478-751-4444.

Location: 175 Emery Highway, Macon, GA, 31217
person
Provider Profile Details
NPI Number
1114014446
Provider Name
Susan Bragdon Johansen
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
175 Emery Highway, Macon, GA, 31217
Phone Number
478-751-4446
Fax Number
478-751-4444
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003160 01 GA LPC
institution
Provider Business Practice Location Address Details
Address
175 Emery Highway
City
State
Zip
31217
Phone Number
478-751-4446
Fax Number
478-751-4444
person
Provider Business Mailing Address Details
Address
175 Emery Highway
City
State
Zip
31217
Phone Number
478-751-4446
Fax Number
478-751-4444
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
003160 (Georgia)
Definition
Definition to come...
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