| Doctor Name: | KATHRYN L JOHNSON |
| NPI Number: | 1023143104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | |
| Business Practice Address: | 2661 County Highway I Chippewa Falls, WI - 547295407 |
| Business Phone Number: | 7157235585 |
| Business Fax Number: | 7157263504 |
| Mailing Address: | 1412 Huron Ct, CHIPPEWA FALLS |
| State: | WI |
| Postal Code: | 547291160 |
| Phone Number: | 7158643851 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |