Individual
JIKESHA RENEE BENTON-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3625 N ELM ST STE 130, GREENSBORO, NC 27455-2604
(704) 360-3637
Mailing address
3000 COLONIAL CENTER PARKWAY, SUITE 100N, ROSWELL, GA 30076-9328
(404) 317-1034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6600
NC
103TC0700X
Clinical Psychologist
PSY003410
GA
Other
Enumeration date
06/06/2008
Last updated
01/06/2025
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