KELLY JOHNSON

VIENNA, IL
NPI1356995799
Former NameKELLY WELCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-07-24
Last Update Date2019-07-24
Business Address
KELLY JOHNSON BS MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Mailing Address
KELLY JOHNSON BS MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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