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NPI Code Detail

MEDICARE: SERENITY M JOHNSON LPC

MEDICARE: SERENITY M JOHNSON LPC
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 Counselor05323.KS
2101YP2500XProfessional Counselor04637KS

General Provider Information

NPI Number : 1659111375
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERENITY M JOHNSON LPC
Provider Business Mailing Address
First Line : 1600 N LORRAINE ST STE 202
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-5600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 N LORRAINE ST STE 202
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-5600
Country : US
Telephone Number : 620-663-7595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2024
Last Update Date : 04/06/2026

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Directions to “ SERENITY M JOHNSON LPC” Practice Location

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