Individual
MR. KORY LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
529 E STROOP RD, KETTERING, OH 45429-3245
(937) 294-6004
(937) 294-9053
Mailing address
529 E STROOP RD, KETTERING, OH 45429-3245
(937) 294-6004
(937) 294-9053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1700702
OH
Other
Enumeration date
11/05/2017
Last updated
11/05/2017
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