Individual
KATHLEEN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3506 N US HIGHWAY 51, JANESVILLE, WI 53545-0726
(608) 757-5378
Mailing address
207 N CLEAR LAKE AVE, MILTON, WI 53563-1007
(608) 757-5384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3665 125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43580200
—
WI
Enumeration date
05/03/2007
Last updated
07/08/2007
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