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1750034203
KELLY JOHNSON
KELLER, TX
NPI
1750034203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 87948)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
KELLY JOHNSON LPC-A
1660 KELLER PKWY
KELLER, TX 76248-3702
Phone number: 817-431-8900
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Mailing Address
KELLY JOHNSON LPC-A
3201 GIDRAN DR
FORT WORTH, TX 76244-9456
Phone number: 817-253-9972
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