Individual
MS. ELISA R. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAT
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 591-5553
Mailing address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 591-5553
(601) 824-1682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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