Individual
MS. KIMBERLY ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14311 GEORGE WASHINGTON HWY, MOUNT STORM, WV 26739-8757
(304) 693-7616
(304) 693-7776
Mailing address
25 W BLUEMONT ST, GRAFTON, WV 26354-1242
(043) 265-0312
(304) 265-0314
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023397001
—
WV
Enumeration date
06/13/2007
Last updated
12/14/2022
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