Individual
RACHEL OLIVIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCLS
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
(317) 466-2000
Mailing address
591 MONON BLVD APT 127, CARMEL, IN 46032-2395
(574) 850-8418
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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