Individual
KIMBERLY ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3003 N RICHMOND ST, APPLETON, WI 54911-1148
(920) 730-1321
(920) 734-2824
Mailing address
3003 N RICHMOND ST, APPLETON, WI 54911-1148
(920) 730-1321
(920) 734-2824
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4229-125
WI
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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