Individual
DIANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2 N MAIN ST, SUITE D, LIBERTY, MO 64068-1638
(816) 718-5887
Mailing address
2 N MAIN ST, SUITE D, LIBERTY, MO 64068-1638
(816) 718-5887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010038339
MO
Other
Enumeration date
07/26/2010
Last updated
11/15/2010
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