Individual provider · Type 1 NPI

Kippy Johnson

Mental Health Counselor · Valley Stream, NY

NPI number 1619628583 Active

Practice location

17 W Merrick Rd
Valley Stream, NY 11580-5701

Call (515) 459-2920 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP111849 (NY)

Mental Health Counselor: Definition to come...

17 other providers at this address

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About NPI 1619628583

Kippy Johnson's National Provider Identifier is 1619628583, issued on Jan 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valley Stream, NY. The record was last updated on Jan 12, 2022.