Individual provider · Type 1 NPI

Kelly Theresa Johnson

Mental Health Counselor · Ashland, OR

NPI number 1245126085 Active

Practice location

1675 Ashland St
Ashland, OR 97520-2472

Fax (541) 708-0681

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245126085

Kelly Theresa Johnson's National Provider Identifier is 1245126085, issued on Jun 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ashland, OR. The record was last updated on Jun 17, 2025.