Individual
JENNIFER LYNN JOHNSON-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 BULLIS AVE, GULFPORT, MS 39501-5233
(228) 220-4226
(228) 220-4303
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/13/2018
Last updated
04/03/2024
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