Ashanti Johnson, PCMHT Valid NPI
Individual provider · Day Training/Habilitation Specialist · Hattiesburg, MS
- NPI
- 1689398331
- Type
- Individual (Type 1)
- Primary specialty
- Day Training/Habilitation Specialist
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 373H00000X
- License number
- 5758 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-09-27
- Last updated
- 2022-09-27
Practice location
1212 W 7th St
Hattiesburg, MS 39401-2822
(601) 544-0571