| Kerry Johnson Behavioral Health Services Inc. | |
|
3904 Miller Ave Jackson MS 39213-5965 | |
| (417) 849-8479 | |
| Not Available |
| Full Name | Kerry Johnson Behavioral Health Services Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3904 Miller Ave, Jackson, Mississippi |
| Authorized Official Name and Position | Kerry C. Johnson (OWNER) |
| Authorized Official Contact | 4178498479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Johnson Behavioral Health Services Inc. 3904 Miller Ave Jackson MS 39213-5965 Ph: () - | Kerry Johnson Behavioral Health Services Inc. 3904 Miller Ave Jackson MS 39213-5965 Ph: (417) 849-8479 |
| NPI Number | 1295284123 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295284123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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