Individual
TONYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104232
KY
101YP2500X
Professional Counselor
104232
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100297920
—
KY
Enumeration date
08/04/2011
Last updated
03/17/2023
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