Individual
KELLI ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W 5TH ST, SHERIDAN, WY 82801
(307) 674-4405
Mailing address
1221 W 5TH ST, SHERIDAN, WY 82801-2701
(307) 674-4405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1826
WY
Other
Enumeration date
08/31/2017
Last updated
12/30/2019
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