Kelsey Johnson, LCSW
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1295083269
StatusActive
Last updated in NPPESMar 2, 2024
Details
- NPI
- 1295083269
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Johnson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2012
- Certification date
- Mar 2, 2024
- Last updated
- Mar 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 118068 | CA | Yes |
Practice location
3928 Arizona St Apt 2San Diego, CA 92104-8813
Phone 818-259-8645
Mailing address
3928 Arizona St Apt 2San Diego, CA 92104-8813
Phone 818-259-8645
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