Individual
STEVEN DOYLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3470 BLAZER PKWY, LEXINGTON, KY 40509-1200
(859) 323-6021
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1235
KY
101YM0800X
Mental Health Counselor
1235
KY
1041C0700X
Clinical Social Worker
Primary
1235
KY
106H00000X
Marriage & Family Therapist
1235
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82000084
—
KY
Enumeration date
10/23/2006
Last updated
06/24/2020
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