Kathryn Johnson
NPI #1114005667 in Mount Dora, Florida
Provider Information
- NPI Number
- 1114005667
- Entity Type
- Organization
- Organization Name
- Kathryn Johnson
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4400 N HIGHWAY 19A
- Address 2
- SUITE 4
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2032
- Phone
- (352) 988-4181
Authorized Official
- Name
- MS. KATHRYN JOHNSON, LCSW
- Title
- PSYCHOSOCIAL CLINICIAN II
- Phone
- (352) 988-4181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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