Individual
MRS. KAYLA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADAC II
Contact information
Practice address
30 SW 5TH ST, RICHMOND, IN 47374-4101
(765) 914-6783
Mailing address
30 SW 5TH ST, RICHMOND, IN 47374-4101
(765) 914-6783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-51236
IN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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