Individual
KATHERINE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4620 S 143RD ST, OMAHA, NE 68137-4511
(402) 669-3197
Mailing address
4620 S 143RD ST, OMAHA, NE 68137-4511
(402) 669-3197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
01/25/2021
Last updated
06/12/2025
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