Individual
KATHARINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6952 DOGWOOD MNR N STE 101, OLIVE BRANCH, MS 38654-2091
(662) 782-6652
Mailing address
4828 ANTEBELLUM LN, OLIVE BRANCH, MS 38654-6575
(256) 682-9230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2413
MS
101Y00000X
Counselor
3466
AL
Other
Enumeration date
10/25/2015
Last updated
01/10/2024
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