Individual
LINDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9318
(662) 323-5553
Mailing address
1032 STATE HWY 50 W, WEST POINT, MS 39773
(662) 524-4347
(662) 524-4364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
W6432
MS
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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