Johnson, Allen Keith
Johnson, Allen Keith is an sole proprietor health care provider with primary practice located at 1700 West Government Street Building B. Suite O. , Brandon MS 39042. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Johnson, Allen Keith can be contacted via phone (601) 613-1240.Contact Information
Primary practice address
1700 West Government Street Building B. Suite O.
Brandon MS 39042
Phone: (601) 613-1240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Mississippi | |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1864 | Mississippi |
Profile Details
| NPI number | 1194294546 |
|---|---|
| LBN Legal business name | Johnson, Allen Keith |
| Credentials | DPC, LPC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2018 |
| Last updated | Jul 15th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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