Individual
KIZMET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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