Individual
KEVIN R. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
321 N MALL DR STE E102, ST GEORGE, UT 84790-7305
(435) 574-9470
Mailing address
321 N MALL DR STE E102, ST GEORGE, UT 84790-7305
(435) 574-9470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5962642-3501
UT
Other
Enumeration date
12/18/2006
Last updated
07/11/2026
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