Individual provider · Type 1 NPI

Shurunda Johnson

Mental Health Counselor · Jackson, MS

NPI number 1376128637 Active

Practice location

5155 Keele St Apt 23F
Jackson, MS 39206-4340

Call (769) 218-7436 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376128637

Shurunda Johnson's National Provider Identifier is 1376128637, issued on Mar 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Mar 17, 2021.