Individual
ELISHIA DURRETT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
802 STONE CREEK PARKWAY, SUITE 2, LOUISVILLE, KY 40223
(502) 379-5749
(866) 611-3616
Mailing address
PO BOX 32, PEWEE VALLEY, KY 40056
(502) 379-5749
(866) 611-3616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
290710
KY
Other
Enumeration date
04/20/2019
Last updated
05/06/2024
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