Individual
MR. JONNY BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
971 LAKELAND DR STE 654, JACKSON, MS 39216-4605
(601) 982-1010
(601) 366-0436
Mailing address
971 LAKELAND DR STE 1159, JACKSON, MS 39216-4609
(601) 982-1010
(601) 366-0436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2907
MS
Other
Enumeration date
02/07/2023
Last updated
01/04/2024
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