Individual
AVA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
400 N WASHINGTON ST STE 229, FARMINGTON, MO 63640-1716
(573) 218-9653
(573) 803-1405
Mailing address
400 N WASHINGTON ST STE 229, FARMINGTON, MO 63640-1716
(573) 218-9653
(573) 803-1405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020014178
MO
Other
Enumeration date
06/01/2020
Last updated
07/16/2025
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