| Jerod Johnson, MS | |
|
949 N Main St, Mulberry, AR 72947-8538 | |
| (479) 452-5040 | |
| (479) 452-5047 |
| Full Name | Jerod Johnson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 949 N Main St, Mulberry, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396273850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A1707231 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerod Johnson, MS Po Box 23070, Barling, AR 72923-0070 Ph: (479) 452-5040 | Jerod Johnson, MS 949 N Main St, Mulberry, AR 72947-8538 Ph: (479) 452-5040 |
Stephanie Wormke, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 949 N Main St, Mulberry, AR 72947 Phone: 479-452-5040 Fax: 479-452-5047 | |
Jason Amerson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 949 N Main St, Mulberry, AR 72947 Phone: 479-452-5040 Fax: 479-452-5047 |