Individual
KATHRYN L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2661 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-5407
(715) 723-5585
(715) 726-3504
Mailing address
1412 HURON CT, CHIPPEWA FALLS, WI 54729-1160
(715) 864-3851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43709500
—
WI
Enumeration date
02/22/2007
Last updated
07/08/2007
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