Individual
LAURA K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 RAY O VAC DR, 103, MADISON, WI 53711-2479
(608) 620-5365
Mailing address
2534 MYRTLE ST, MADISON, WI 53704-4541
(608) 438-9887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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