Organization
KEVIN JOHNSON CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN R. JOHNSON LCSW (OWNER)
(435) 225-4357
Entity
Organization
Contact information
Practice address
321 N MALL DR STE E102, ST GEORGE, UT 84790-7305
(435) 225-4357
Mailing address
1202 SAINT JAMES LN, ST GEORGE, UT 84790-6743
(435) 225-4357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5962642-3501
UT
Other
Enumeration date
03/22/2012
Last updated
12/10/2024
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