LA TONYA N JOHNSON

ELIZABETHTOWN, KY
NPI1770054439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  175226)
Enumeration Date2018-12-06
Last Update Date2018-12-06
Business Address
LA TONYA N JOHNSON
723 HAWKINS DR
ELIZABETHTOWN, KY 42701-1063
Phone number: 270-900-0373
Mailing Address
LA TONYA N JOHNSON
PO BOX 1086
ELIZABETHTOWN, KY 42702-1086
Phone number: 270-900-0373