Individual
CHASE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1800 W IRISH LN, KNOB NOSTER, MO 65336-1020
(660) 687-0187
(660) 687-0221
Mailing address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022012321
MO
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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