Organization
KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY C. JOHNSON LPC (OWNER)
(417) 849-8479
Entity
Organization
Contact information
Practice address
3904 MILLER AVE, JACKSON, MS 39213-5965
(417) 849-8479
Mailing address
3904 MILLER AVE, JACKSON, MS 39213-5965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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