Individual provider · Type 1 NPI

Kelly Elizabeth Johnson

Counselor · Glendale, AZ

NPI number 1063382679 Active

Practice location

17505 N 79th Ave Ste 311GANDC
Glendale, AZ 85308-8725

Call (602) 876-2029 Map

Mailing address

19865 W Monterosa St
Litchfield Park, AZ 85340-5603

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063382679

Kelly Elizabeth Johnson's National Provider Identifier is 1063382679, issued on Nov 8, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Glendale, AZ. The record was last updated on Nov 8, 2025.