Individual
DR. ALLEN KEITH JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPC, LPC-S
Contact information
Practice address
1700 WEST GOVERNMENT STREET BUILDING B. SUITE O., BRANDON, MS 39042
(601) 613-1240
Mailing address
1700 W. GOVERNMENT STREET, BUILDING B., SUITE 214, BRANDON, MS 39042
(601) 613-1240
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1864
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MS
Other
Enumeration date
11/15/2018
Last updated
07/15/2022
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