Individual provider · Type 1 NPI

Laci Johnson, M.S.ED.

Mental Health Counselor · Fort Wayne, IN

NPI number 1457192965 Active

Practice location

8113 Lima Rd Ste B
Fort Wayne, IN 46818-2162

Call (260) 267-5175 Map

Mailing address

7323 Thoroughbred Dr Apt 3D
Fort Wayne, IN 46804-2350

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X99125292A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1457192965

Laci Johnson, M.S.ED.'s National Provider Identifier is 1457192965, issued on Jun 6, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 11, 2024.