Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HIGH RISE DR, SUITE 374, LOUISVILLE, KY 40213-3252
(502) 589-8085
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
KY
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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