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Kelley Lynn Johnson, LPC
Professional Counselor in Great Bend, Kansas
NPI 1639296759

Kelley Lynn Johnson is a Professional Counselor based in Great Bend, KS and is specialized in Professional. Kelley Lynn Johnson practices in Great Bend, KS and has the professional credentials of LPC. The NPI Number for Kelley Lynn Johnson is 1639296759 and holds a License No. 753 (Kansas).

The current practice location address for Kelley Lynn Johnson is 155 Se 1 Ave, Great Bend, KS and can be reached out via phone at 620-786-0311.

Location: 155 Se 1 Ave, Great Bend, KS, 67530-6324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639296759
Provider Name
Kelley Lynn Johnson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
155 Se 1 Ave, Great Bend, KS, 67530-6324
Phone Number
620-786-0311
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100098090A 05 KS
institution
Provider Business Practice Location Address Details
Address
155 Se 1 Ave
City
Great Bend
State
Kansas
Zip
67530-9696
Phone Number
620-786-0311
Fax Number
person
Provider Business Mailing Address Details
Address
155 Se 1 Ave
City
Great Bend
State
Kansas
Zip
67530-9696
Phone Number
620-786-0311
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
753 (Kansas)
Definition
Definition to come...
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