Organization
ENCOUNTER COMMUNITY COUNSELING CENTER, LLC
Active
Other names
Encounter Community Counseling Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN KEITH JOHNSON JR. DPC, LPC-S, CADC II (OWNER/THERAPIST)
(601) 613-1240
Entity
Organization
Contact information
Practice address
1700 W GOVERNMENT STREET, BUILDING B., SUITE 214, BRANDON, MS 39042-2423
(601) 613-1240
Mailing address
1700 W GOVERNMENT STREET, BUILDING B., SUITE 214, BRANDON, MS 39042-2423
(601) 613-1240
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194294546
—
MS
Enumeration date
07/15/2022
Last updated
07/15/2022
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