Individual
DR. KERRY CAMMILLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LPC, NCC
Contact information
Practice address
500 E WOODROW WILSON AVE STE M, JACKSON, MS 39216-4538
(417) 849-8479
Mailing address
500 E WOODROW WILSON AVE STE M, JACKSON, MS 39216-4538
(417) 849-8479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1389
MS
Other
Enumeration date
02/25/2013
Last updated
02/23/2015
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