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Organization
KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC.
Active
Organization
KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY C. JOHNSON LPC (OWNER)
(417) 849-8479
Entity
Organization
Contact information
Practice address
3904 MILLER AVE, JACKSON, MS 39213-5965
(417) 849-8479
Mailing address
3904 MILLER AVE, JACKSON, MS 39213-5965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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