Individual provider · Type 1 NPI

Kelly Johnson

Addiction (Substance Use Disorder) Counselor · Rochester, NY

NPI number 1134907322 Active

Practice location

1565 Long Pond Rd
Rochester, NY 14626-4168

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1134907322

Kelly Johnson's National Provider Identifier is 1134907322, issued on Sep 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, NY. The record was last updated on Sep 19, 2023.