Individual
STEPHEN WHITE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
101 WIND HAVEN DR STE 203, NICHOLASVILLE, KY 40356-8035
(859) 219-9800
(859) 219-9883
Mailing address
101 WIND HAVEN DR STE 203, NICHOLASVILLE, KY 40356-8035
(859) 219-9800
(859) 219-9883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
443
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
443
THE KENTUCKY BORAD OF SOCIAL WORK
KY
Enumeration date
06/19/2018
Last updated
06/11/2019
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