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Individual

KENTREL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
109 FRANKIE LN, WHITE HALL, AR 71602-2685
(870) 247-3588
(870) 247-2072
Mailing address
109 FRANKIE LN, WHITE HALL, AR 71602-2685
(870) 247-3588
(870) 247-2072

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AR

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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