Individual
KALAISHI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
(601) 473-2150
Mailing address
4293 BERLIN DR, JACKSON, MS 39211-6016
(601) 672-5382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3031
MS
Other
Enumeration date
08/11/2021
Last updated
10/20/2023
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