Organization
JEREMIAH JOHNSON LCPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH JOHNSON MA, LCPC (OWNER/PROVIDER)
(785) 542-9110
Entity
Organization
Contact information
Practice address
1505 KASOLD DR STE 8, LAWRENCE, KS 66047-1601
(785) 542-9110
Mailing address
1505 KASOLD DR STE 8, LAWRENCE, KS 66047-1601
(785) 542-9110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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