Individual
KATHERINE JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1700 WHEELING ST # A-211M, AURORA, CO 80045-7211
(701) 527-7612
Mailing address
380 E 3360 S APT 46, SOUTH SALT LAKE, UT 84115-4539
(701) 527-7612
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12460824-2501
UT
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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