Individual
AMY L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
KATHLEEN LAKEY AND ASSOCIATES, 275 EAST SOUTH TEMPLE, STE 103, SALT LAKE CITY, UT 84111
(385) 218-8266
(801) 364-1433
Mailing address
275 E SOUTH TEMPLE STE 103, SALT LAKE CITY, UT 84111-1323
(385) 218-8266
(801) 364-1433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
123100283502
UT
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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