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Individual

MRS. CATHERINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MASTER COUNSELING

Contact information

Practice address
522 WEST PARK AVENUE, GREENWOOD, MS 38930
(662) 374-5029
(662) 374-5032
Mailing address
1211 SOUTH BLVD, GREENWOOD, MS 38930-5346
(662) 392-1006

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4087
MS

Other

Enumeration date
05/16/2017
Last updated
05/16/2017
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