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Individual

CHANELLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3619 BROADWAY BLVD STE 8, KANSAS CITY, MO 64111-2376
(262) 510-5197
Mailing address
3619 BROADWAY BLVD STE 8, KANSAS CITY, MO 64111-2376
(262) 510-5197

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
02/20/2025
Last updated
04/11/2025
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