Individual
SALLIE D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 WINN ST APT SUITE, JACKSON, MS 39204-5414
(601) 832-7429
Mailing address
860 E RIVER PL, JACKSON, MS 39202-3442
(769) 252-5550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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