Individual
MR. KURT M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1606 BROAD ST, PHENIX CITY, AL 36867-5081
(334) 480-8888
Mailing address
3700 BRIDGEWATER RD APT C8, COLUMBUS, GA 31909-6309
(309) 631-0058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.014379
IL
1041C0700X
Clinical Social Worker
Primary
4127C
AL
Other
Enumeration date
12/18/2012
Last updated
10/21/2018
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