Individual
CELOSIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 S LOCUST ST, GLENWOOD, IA 51534-1727
(712) 527-2823
Mailing address
15022 WYCLIFFE DR APT 25, OMAHA, NE 68154-4314
(918) 839-0798
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12677
NE
101YM0800X
Mental Health Counselor
—
NE
Other
Enumeration date
03/02/2022
Last updated
04/13/2022
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