| Doctor Name: | PAMELA DESHAWN JOHNSON |
| NPI Number: | 1326314667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | NCC 259849 |
| Business Practice Address: | 231 Maxham Rd #100 Austell, GA - 301685523 |
| Business Phone Number: | 4048325339 |
| Business Fax Number: | 8886781435 |
| Mailing Address: | 1275 Cunningham Rd Sw, Apt 405 MARIETTA |
| State: | GA |
| Postal Code: | 300083677 |
| Phone Number: | 4048325339 |
| Fax Number: | 8886781435 |
| NPI Enumeration Date: | 03/30/2012 |
| NPI Last Update Date: | 05/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | NCC 259849 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |