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Individual
MR. KIRK JOHNSON
Active
Individual
MR. KIRK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1230641
—
101YS0200X
School Counselor
1929625
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1230641
NBCC
—
Enumeration date
03/12/2021
Last updated
03/12/2021
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