Individual
ZACKARY JACOB JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3219 E DOUGLAS AVE, WICHITA, KS 67218-1024
(316) 201-6047
Mailing address
777 N SILVER SPRINGS BLVD APT 517, WICHITA, KS 67212-6006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT03844-T
KS
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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