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Amanda Johnson, PCMHT
Counselor in Leakesville, Mississippi
NPI 1326723404

Amanda Johnson is a Counselor based in Hattiesburg, MS. Amanda Johnson practices in Leakesville, MS and has the professional credentials of PCMHT. The NPI Number for Amanda Johnson is 1326723404 and holds a License No. 5930 (Mississippi).

The current practice location address for Amanda Johnson is 1501 Lackey St, Leakesville, MS and can be reached out via phone at 601-394-5047 and via fax at 601-394-6542.

Location: 1501 Lackey St, Leakesville, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326723404
Provider Name
Amanda Johnson
Credential
PCMHT
Provider Entity Type
Individual
Gender
Female
Address
1501 Lackey St, Leakesville, MS, 39404-8679
Phone Number
601-394-5047
Fax Number
601-394-6542
Provider Enumeration Date
06/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Lackey St
City
Leakesville
State
Mississippi
Zip
39451-3108
Phone Number
601-394-5047
Fax Number
601-394-6542
person
Provider Business Mailing Address Details
Address
1501 Lackey St
City
Leakesville
State
Mississippi
Zip
39451-3108
Phone Number
601-394-5047
Fax Number
601-394-6542
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
5930 (Mississippi)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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