Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 US HIGHWAY 62 W, PRINCETON, KY 42445-6106
(270) 365-2008
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
294045
KY
101YP2500X
Professional Counselor
Primary
294045
KY
Other
Enumeration date
12/13/2021
Last updated
03/05/2025
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