Individual
LAKITTA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC-S
Contact information
Practice address
10 CANEBRAKE BLVD STE 110-068, FLOWOOD, MS 39232-2211
(769) 208-3642
Mailing address
PO BOX 321044, FLOWOOD, MS 39232-1044
(769) 208-3642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1241
MS
Other
Enumeration date
01/13/2021
Last updated
03/13/2021
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