Individual provider · Type 1 NPI
Latoya Jennel Johnson
Mental Health Counselor · Madisonville, KY
NPI number
1205280849
Active
Practice location
1079 Thornberry Dr Ste D
Madisonville, KY 42431-1600
Mailing address
111 Meridians Way
Oak Grove, KY 42262-9390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPCCCA00225610 (KY) |
Mental Health Counselor: Definition to come...
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About NPI 1205280849
Latoya Jennel Johnson's National Provider Identifier is 1205280849, issued on Apr 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madisonville, KY. The record was last updated on Apr 20, 2016.