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NPI Code Detail

MEDICARE: MS. KARIS ELIZABETH JOHNS M.S, MFT

MEDICARE:  MS. KARIS ELIZABETH JOHNS  M.S, MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist525228WI

General Provider Information

NPI Number : 1194171710
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARIS ELIZABETH JOHNS M.S, MFT
Provider Business Mailing Address
First Line : 1477 S KNOWLES AVE STE 130
Second Line :
City : NEW RICHMOND
State : WI
Zip : 54017-2568
Country : US
Telephone Number : 716-246-4840
Fax Number : 715-246-4108
Provider Business Practice Location Address
First Line : 1477 S KNOWLES AVE STE 130
Second Line :
City : NEW RICHMOND
State : WI
Zip : 54017-2568
Country : US
Telephone Number : 716-246-4840
Fax Number : 715-246-4108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2016
Last Update Date : 05/12/2016

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Directions to “ MS. KARIS ELIZABETH JOHNS M.S, MFT” Practice Location

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