Individual
LATOYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
4113 W KIEHNAU AVE, MILWAUKEE, WI 53209-3024
(414) 350-9139
Mailing address
4113 W KIEHNAU AVE, MILWAUKEE, WI 53209-3024
(414) 350-9139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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