Individual
KIMBERLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
48 LIBERTY LN, ANNISTON, AL 36207-2645
(256) 343-6305
Mailing address
48 LIBERTY LN, ANNISTON, AL 36207-2645
(256) 343-6305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2902
AL
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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