Individual
MR. JOSEPH DANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LSW,NCC
Contact information
Practice address
1911 MISSION 66 STE B, SUITE B, VICKSBURG, MS 39180-3762
(601) 631-0102
(601) 631-0131
Mailing address
1911 MISSION 66 STE B, SUITE B, VICKSBURG, MS 39180-3762
(601) 631-0102
(601) 631-0131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0637
MS
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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