Individual
SHELBY HOWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. PCMHT
Contact information
Practice address
103 SOUTHLAKE CIR, CANTON, MS 39046-5369
(601) 859-8371
Mailing address
103 SOUTHLAKE CIR, CANTON, MS 39046-5369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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