Individual
KYLE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LAC
Contact information
Practice address
25 S EWING ST STE 511, HELENA, MT 59601-5732
(406) 996-1034
Mailing address
560 RAVEN RUN APT 1, HELENA, MT 59601-8524
(406) 579-5039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LIC-3436
MT
101YP2500X
Professional Counselor
Primary
37585
MT
Other
Enumeration date
04/25/2017
Last updated
04/19/2019
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