Individual provider · Type 1 NPI

Kelly Johnson, BS MHP

Mental Health Counselor · Vienna, IL

NPI number 1356995799 Active

Practice location

101 Oliver St
Vienna, IL 62995-1660

Fax (618) 658-2501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356995799

Kelly Johnson, BS MHP's National Provider Identifier is 1356995799, issued on Jul 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vienna, IL. The record was last updated on Jul 24, 2019.