Individual
MRS. ALISA LOUISE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, LSW
Contact information
Practice address
361 TOWNE CENTER BLVD, SUITE 1300, RIDGELAND, MS 39157
(601) 977-9353
(601) 977-9422
Mailing address
361 TOWNE CENTER BLVD, SUITE 1300, RIDGELAND, MS 39157
(601) 977-9353
(601) 977-9422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1254
MS
104100000X
Social Worker
W4620
MS
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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