Individual
KURRISSA K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
4001 CANE RIDGE PKWY, ANTIOCH, TN 37013-4602
(615) 525-8746
Mailing address
525 ROYAL PKWY UNIT 292968, NASHVILLE, TN 37229-4087
(615) 525-8746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18927
NC
101YM0800X
Mental Health Counselor
ALC04395
AL
101YM0800X
Mental Health Counselor
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Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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