Individual
KAITLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6501 WEST 12TH STREET, LITTLE ROCK, AR 72204-1511
(501) 666-8686
(501) 660-6832
Mailing address
P.O. BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CIT-M-00178
AR
104100000X
Social Worker
Primary
12872-M
AR
Other
Enumeration date
05/30/2023
Last updated
12/30/2025
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