Individual
KATHERINE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICRC/AODA
Contact information
Practice address
185 E 400 N, SPANISH FORK, UT 84660-1563
(801) 669-8032
(801) 850-9354
Mailing address
141 S 500 W, PAYSON, UT 84651-2029
(801) 473-8492
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7229222-6006
UT
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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