Individual
KAYCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE
Contact information
Practice address
6701 HIGHWAY 67 BLDG 4, BENTON, AR 72015-8909
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10-44AE
AR
171M00000X
Case Manager/Care Coordinator
—
AR
Other
Enumeration date
10/22/2008
Last updated
05/20/2011
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