Individual provider · Type 1 NPI
Kelley Lynn Johnson, LCPC-S, LCAC
Professional Counselor · Great Bend, KS
NPI number
1639296759
Active
Practice location
809 S Patton, PO Box 1223
Great Bend, KS 67530
Fax (620) 796-2208
Mailing address
PO Box 1223
Great Bend, KS 67530-1223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 660 (KS) |
| Professional Counselor Primary | 101YP2500X | 2362 (KS) |
Professional Counselor: Definition to come...
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About NPI 1639296759
Kelley Lynn Johnson, LCPC-S, LCAC's National Provider Identifier is 1639296759, issued on Mar 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Great Bend, KS. The record was last updated on Apr 2, 2025.