Individual
MR. JESSIE JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
Mailing address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3373
MS
Other
Enumeration date
08/22/2022
Last updated
11/14/2025
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