Individual
KATE LYNN-KUSCHEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1117 MEADOWSWEET LN, VICKSBURG, MI 49097-9492
(269) 929-5719
Mailing address
1117 MEADOWSWEET LN, VICKSBURG, MI 49097-9492
(269) 929-5719
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401223558APP23
MI
101YM0800X
Mental Health Counselor
6401223558APP23
MI
101YP2500X
Professional Counselor
6401223558APP23
MI
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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