Individual
DR. TERRENCE ZEBEDEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2633 RIDGEWOOD RD STE 204, JACKSON, MS 39216-4976
(769) 251-5133
Mailing address
2633 RIDGEWOOD RD STE 204, JACKSON, MS 39216-4976
(769) 251-5133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1552
MS
Other
Enumeration date
08/06/2008
Last updated
10/21/2019
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