Individual
MISS TAYLOR LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
201 MECHANIC ST, LEXINGTON, KY 40507-1086
(859) 272-7483
Mailing address
4057 MOONCOIN WAY APT 8205, LEXINGTON, KY 40515-6096
(937) 572-8532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
05/06/2016
Last updated
05/12/2016
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