person
Kyle Raymond Johnson
Mental Health Counselor in Klamath Falls, Oregon
NPI 1467043513

Kyle Raymond Johnson is a Mental Health Counselor based in Klamath Falls, OR and is specialized in Mental Health. Kyle Raymond Johnson practices in Klamath Falls, OR. The NPI Number for Kyle Raymond Johnson is 1467043513 and holds a License No. 23-11-10964 (Oregon).

The current practice location address for Kyle Raymond Johnson is 2210 N Eldorado Ave, Klamath Falls, OR and can be reached out via phone at 541-883-1030. You can also correspond with Kyle Raymond Johnson through the mailing address at 2210 N ELDORADO AVE, KLAMATH FALLS, OR - 97601-6418 (mailing address contact number: 541-883-1030).

Location: 2210 N Eldorado Ave, Klamath Falls, OR, 97601-6418
person
Provider Profile Details
NPI Number
1467043513
Provider Name
Kyle Raymond Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2210 N Eldorado Ave, Klamath Falls, OR, 97601-6418
Phone Number
541-883-1030
Fax Number
Provider Enumeration Date
02/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A13552 01 OR LICENSURE
institution
Provider Business Practice Location Address Details
Address
2210 N Eldorado Ave
City
State
Zip
97601-6418
Phone Number
541-883-1030
Fax Number
person
Provider Business Mailing Address Details
Address
2210 N Eldorado Ave
City
State
Zip
97601-6418
Phone Number
541-883-1030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A13552 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
23-11-10964 (Oregon)
Definition
Definition to come...
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