Individual
KINYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 857-0157
Mailing address
5501 DELMAR BLVD STE 300, SAINT LOUIS, MO 63112-3054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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