Individual
MRS. JULIE B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2707 BRECKENRIDGE ST, SUITE 4, OWENSBORO, KY 42303-1385
(270) 702-0147
(270) 215-4011
Mailing address
2707 BRECKENRIDGE ST, SUITE 4, OWENSBORO, KY 42303-1385
(270) 702-0147
(270) 215-4011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
105826
KY
221700000X
Art Therapist
169044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
05
—
7100285950
—
KY
Enumeration date
03/14/2007
Last updated
08/31/2016
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