Individual
KRISTEN LAPRADE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
551 VETERANS UNITED DR, COLUMBIA, MO 65201-4236
(573) 882-4730
(573) 884-4899
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2022020084
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490110029
—
MO
Enumeration date
07/06/2020
Last updated
02/06/2023
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