Individual
TRAVIS MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 N WOODLAWN ST STE 3105, WICHITA, KS 67208-3673
(316) 685-1821
(316) 685-0768
Mailing address
555 N WOODLAWN ST STE 3105, WICHITA, KS 67208-3673
(316) 651-1230
(316) 685-0768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2793
KS
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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