Individual provider · Type 1 NPI

Kennidi Johnson

Counselor · St. Louis, MO

NPI number 1619753779 Active

Practice location

5501 Delmar Blvd Ste B300
St. Louis, MO 63112-3078

Call (314) 502-6539 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Clinical Social Worker 1041C0700XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1619753779

Kennidi Johnson's National Provider Identifier is 1619753779, issued on Sep 5, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 5, 2023.