KERVIN JOHNSON

MCCOMB, MS
NPI1790154003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-09-16
Last Update Date2015-09-16
Business Address
-- KERVIN JOHNSON
1701 WHITE ST
MCCOMB, MS 39648-2711
Phone number: 601-249-4217
Mailing Address
-- KERVIN JOHNSON
1701 WHITE ST
MCCOMB, MS 39648-2711
Phone number: 601-249-4217
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