Organization
JOURNEY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRA JOHNSON LCSW (CLINICAL DIRECTOR)
(601) 982-0948
Entity
Organization
Contact information
Practice address
2080 DUNBARTON DR, SUITE 1, JACKSON, MS 39216-5016
(601) 982-0948
(877) 907-6577
Mailing address
PO BOX 59397, JACKSON, MS 39284-9397
(601) 982-0948
(877) 907-6577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6696
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06202806
—
MS
Enumeration date
08/11/2014
Last updated
05/01/2015
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