Individual provider · Type 1 NPI

Kelly Monique Johnson

Professional Counselor · Fairfield, CA

NPI number 1447978655 Active

Practice location

5232 Julia Berger Cir
Fairfield, CA 94534-4280

Call (559) 412-0879 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X15814 (CA)

Professional Counselor: Definition to come...

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About NPI 1447978655

Kelly Monique Johnson's National Provider Identifier is 1447978655, issued on Aug 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfield, CA. The record was last updated on Oct 21, 2026.