National Provider Identifier
Kelly Johnson
Kelly Johnson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 723-7723.
Profile Overview
- NPI
- 1134907322
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 19, 2023
- Last Updated
- September 19, 2023
Practice Location
- 1565 Long Pond RD
- Rochester, NY 14626-4168
Phone: (585) 723-7723
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1134907322
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Kelly
- Mailing Street Address
- 1565 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4168
- Mailing Country
- US
- Practice Street Address
- 1565 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4168
- Practice Country
- US
- Practice Phone
- (585) 723-7723
- Enumeration Date
- September 19, 2023
- Last Updated
- September 19, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 26, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Addiction (Substance Use Disorder) Counselor (101YA0400X)