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Ashanti Johnson, PCMHT

Day Training/Habilitation Specialist in Hattiesburg, MS. Individual provider (NPI-1).

NPI number1689398331
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1689398331
Entity type
Individual (NPI-1)
Name
Ashanti Johnson
Credential
PCMHT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2022
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist5758MSYes

Practice location

1212 W 7th St
Hattiesburg, MS 39401-2822

Phone 601-544-0571

Mailing address

Po Box 18679
Hattiesburg, MS 39404-8679

Phone 601-705-1901 · Fax 601-705-1952

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