Individual
MRS. KELLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
9247 BROADWAY STE BB, MERRILLVILLE, IN 46410-7008
(219) 323-3311
Mailing address
9247 BROADWAY STE BB, MERRILLVILLE, IN 46410-7008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
88001503A
IN
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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