person
Kelly Johnson, BSMHP
Mental Health Counselor in Vienna, Illinois
NPI 1356995799

Kelly Johnson is a Mental Health Counselor based in Vienna, IL and is specialized in Mental Health. Kelly Johnson practices in Vienna, IL and has the professional credentials of BSMHP. The NPI Number for Kelly Johnson is 1356995799 and holds a License No. (Illinois).

The current practice location address for Kelly Johnson is 101 Oliver St, Vienna, IL and can be reached out via phone at 618-658-2611 and via fax at 618-658-2501.

Location: 101 Oliver St, Vienna, IL, 62995-1660
person
Provider Profile Details
NPI Number
1356995799
Provider Name
Kelly Johnson
Credential
BSMHP
Provider Entity Type
Individual
Gender
Female
Address
101 Oliver St, Vienna, IL, 62995-1660
Phone Number
618-658-2611
Fax Number
618-658-2501
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Oliver St
City
State
Zip
62995-1660
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider Business Mailing Address Details
Address
101 Oliver St
City
State
Zip
62995-1660
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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