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Individual

LINDA KAY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
Mailing address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-1249
WY
101YP2500X
Professional Counselor
00394
MN

Other

Enumeration date
03/04/2007
Last updated
10/19/2011
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