Individual
KIMBERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 249-4228
Mailing address
301 MCNEELY RD APT 9F, NATCHEZ, MS 39120-4234
(601) 249-4228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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