| Doctor Name: | KATRINA M JOHNSON |
| NPI Number: | 1023496387 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CTRS, MSW,LCSW |
| License Number: | 8131-123 |
| Business Practice Address: | 210 Airport Road Suite 103 Viroqua, WI - 54665 |
| Business Phone Number: | 6086387420 |
| Business Fax Number: | |
| Mailing Address: | Po Box 189, VIROQUA |
| State: | WI |
| Postal Code: | 546650189 |
| Phone Number: | 6086387420 |
| Fax Number: | 6086387429 |
| NPI Enumeration Date: | 05/07/2015 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 8131-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |