Individual
KATERRA LEE MILLER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6902 PINE ST, OMAHA, NE 68106-2855
(402) 559-6408
(402) 559-5737
Mailing address
6902 PINE ST, OMAHA, NE 68106-2855
(402) 559-6408
(402) 559-5737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
12698
NE
Other
Enumeration date
10/05/2017
Last updated
07/20/2021
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