Individual
KYLA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
396 CAVE RUN LAKE RD, SALT LICK, KY 40371-8744
(606) 784-1153
Mailing address
396 CAVE RUN LAKE RD, SALT LICK, KY 40371-8744
(606) 784-1153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
TC00001061
KY
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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