Most Relevant Information
Provider Data
| NPI Number: | 1003454711 |
| Provider Name: | CAITLIN MARIAH JOHNSON LPC, CRC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC011311 |
Most Important Dates
| Enumeration Date: | 12/12/2019 |
| Last Updated: | 12/12/2019 |
Provider Practice Location
1414 DUG GAP RD
DALTON
GA
307205007
Practice Location Phone/Fax
| Phone: | 7062790405 |
| Fax: |
Provider Mailing Location
725 MOUNTAIN LAUREL DR
CANTON
GA
301141272
Provider Mailing Phone/Fax
| Phone: | 7068893174 |
| Fax: |