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Individual

TATIONNA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
801 NW SAINT MARY DR STE 102, BLUE SPRINGS, MO 64014-2539
(816) 427-1337
Mailing address
4320 NORTHERN AVE APT 2834, KANSAS CITY, MO 64133-7252

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2026022289
MO

Other

Enumeration date
06/13/2026
Last updated
06/13/2026
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