Individual
JOHNNA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
217 DEWEY ST, COLUMBIA, MS 39429-2751
(601) 736-6799
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3102
MS
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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