| Doctor Name: | SHERRIE BERNICE JOHNSON |
| NPI Number: | 1043413529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LPC004178 |
| Business Practice Address: | 1371 Orchard Hill Rd Milledgeville, GA - 310612551 |
| Business Phone Number: | 4784455322 |
| Business Fax Number: | 4784455690 |
| Mailing Address: | 1371 Orchard Hill Rd, P O Box 1827 MILLEDGEVILLE |
| State: | GA |
| Postal Code: | 310591827 |
| Phone Number: | 4784455322 |
| Fax Number: | 4784455690 |
| NPI Enumeration Date: | 06/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC004178 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |