Individual
JESSI A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S 10TH ST, LEXINGTON, MO 64067-1364
(660) 259-3900
Mailing address
109 S 10TH ST, LEXINGTON, MO 64067-1364
(660) 259-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
07/18/2014
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