Individual
KAYLA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 E THOMAS RD STE 2200, PHOENIX, AZ 85012-3133
(480) 930-2566
Mailing address
2824 N POWER RD, SUITE 113 PMB 160, MESA, AZ 85215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17334
AZ
Other
Enumeration date
11/17/2021
Last updated
09/25/2023
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