Individual provider · Type 1 NPI

Lasicillie Johnson

Mental Health Counselor · Meridian, MS

NPI number 1134448160 Active

Practice location

1415 College Dr
Meridian, MS 39307-5345

Fax (601) 485-0223

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH0938 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1134448160

Lasicillie Johnson's National Provider Identifier is 1134448160, issued on Jun 1, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Meridian, MS. The record was last updated on Jun 1, 2010.