Individual
KELSEY JOY-MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 E MAIN ST, LANCASTER, OH 43130
(740) 687-0042
Mailing address
624 E MAIN ST, LANCASTER, OH 43130-3903
(740) 687-0042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E.1800795
OH
101YP2500X
Professional Counselor
Primary
E.1800795-SUPV
OH
101YP2500X
Professional Counselor
E2722-S
OH
Other
Enumeration date
07/26/2015
Last updated
08/05/2019
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