Individual provider · Type 1 NPI

Kelsey S. R. Johnson, LPC

Professional Counselor · Madison, WI

NPI number 1417428764 Active

Practice location

2010 Eastwood Dr Ste 202
Madison, WI 53704-5387

Call (608) 255-9119 Map

Fax (608) 255-9219

Mailing address

417 Rensvold Blvd
Moorhead, MN 56560-3242

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7155-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1417428764

Kelsey S. R. Johnson, LPC's National Provider Identifier is 1417428764, issued on Dec 16, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Jan 14, 2023.