Individual
KYNDELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(866) 729-4479
(870) 886-1334
Mailing address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(866) 729-4479
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2302011
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/14/2022
Last updated
05/05/2023
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