Amanda Johnson, PCMHT
NPI #1326723404 in Leakesville, Mississippi
Provider Information
- NPI Number
- 1326723404
- Entity Type
- Individual
- Name
- Amanda Johnson, PCMHT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- PCMHT
- Enumeration Date
- Jun 16, 2023
- Last Updated
- Jun 16, 2023
Practice Location
- Address
- 1501 LACKEY ST
- City
- Leakesville
- State
- Mississippi
- ZIP Code
- 39451-3108
- Phone
- (601) 394-5047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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