T Kelly Johnson, LAC
NPI #1568537058 in Madison, South Dakota
Provider Information
- NPI Number
- 1568537058
- Entity Type
- Individual
- Name
- T Kelly Johnson, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LAC
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Apr 14, 2015
Practice Location
- Address
- 726 S WASHINGTON AVE
- City
- Madison
- State
- South Dakota
- ZIP Code
- 57042-3519
- Phone
- (605) 270-0347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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