Individual
KELSEY S. R. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2010 EASTWOOD DR STE 202, MADISON, WI 53704-5387
(608) 255-9119
(608) 255-9219
Mailing address
417 RENSVOLD BLVD, MOORHEAD, MN 56560-3242
(952) 221-6397
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7155-125
WI
Other
Enumeration date
12/16/2018
Last updated
01/14/2023
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