Detrick Johnson
Detrick Johnson is a Mental Health Counselor in Jackson, Mississippi. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3450 Highway 80 WJackson, MS 39209-7201
Phone: (601) 321-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1093313660 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 15, 2020 |
| Last updated in NPPES | October 15, 2020 |
| Certification date | October 15, 2020 |
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Kristy D Johnson
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3450 Highway 80 W, Jackson, MS 39209-7201 · (601) 321-2400