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NPI Code Detail

MEDICARE: KARI ELLEN JOHNSON CT

MEDICARE: KARI ELLEN JOHNSON CT
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
1101YP2500XProfessional CounselorC.1600732-TRNEOH

General Provider Information

NPI Number : 1205339777
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI ELLEN JOHNSON CT
Provider Business Mailing Address
First Line : 530 ALLENBY DR
Second Line :
City : MARYSVILLE
State : OH
Zip : 43040-8783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 299 CRAMER CREEK CT
Second Line :
City : DUBLIN
State : OH
Zip : 43017-2586
Country : US
Telephone Number : 614-889-5722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 03/12/2018

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Directions to “ KARI ELLEN JOHNSON CT” Practice Location

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