Kim Johnson, MHR, D.MIN, CSAYC
NPI #1508277401 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1508277401
- Entity Type
- Individual
- Name
- Kim Johnson, MHR, D.MIN, CSAYC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Credential
- MHR, D.MIN, CSAYC
- Enumeration Date
- May 13, 2014
- Last Updated
- May 13, 2014
Practice Location
- Address
- 1404 S STATE AVE
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46203-2009
- Phone
- (317) 783-4003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychiatric Residential Treatment Facility |
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