Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
T KELLY JOHNSON, LAC
Active Sole ProprietorT KELLY JOHNSON, LAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MADISON, South Dakota. NPI 1568537058 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MADISON, SD
Registration Details
- NPI Number
- 1568537058
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.69591113604 yrs)
- Last Updated
- Apr 14, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
726 S WASHINGTON AVEMADISON, SD, 570423519Browse SD providers · Browse ZIP 57042
- Phone
- 6052700347
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MADISON, SD
| Name | Credential | NPI |
|---|---|---|
| MARCIE L JOHNSON | CPS | 1659598969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.