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Individual

TAYLOR JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., L.P.C., M.DIV.

Contact information

Practice address
11695 S BLACKBOB RD, OLATHE, KS 66062-1058
(913) 768-6606
(913) 768-6609
Mailing address
11695 S BLACKBOB RD, OLATHE, KS 66062-1058
(913) 768-6606
(913) 768-6609

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-LPC2281
KS
101YP1600X
Pastoral Counselor
T-LPC2281
KS
106H00000X
Marriage & Family Therapist
T-LPC2281
KS

Other

Enumeration date
08/02/2011
Last updated
08/02/2011
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