Individual
KATHLEEN DIANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 328, OMAHA, NE 68105-2943
(402) 614-8444
(402) 614-8443
Mailing address
1941 S 42ND ST STE 328, OMAHA, NE 68105-2943
(402) 614-8444
(402) 614-8443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11233
NE
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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