National Provider Identifier
Kerron Johnson
Kerron Johnson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (718) 304-6350.
Profile Overview
- NPI
- 1891543393
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 09, 2024
- Last Updated
- July 23, 2024
Practice Location
- 712 Main St Apt 303
- Buffalo, NY 14202-1717
Phone: (718) 304-6350
Specialties
- Mental Health Counselor (101YM0800X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1891543393
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Kerron
- Mailing Street Address
- 712 Main St Apt 303
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1717
- Mailing Country
- US
- Mailing Phone
- (718) 304-6350
- Practice Street Address
- 712 Main St Apt 303
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1717
- Practice Country
- US
- Practice Phone
- (718) 304-6350
- Enumeration Date
- May 09, 2024
- Last Updated
- July 23, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 23, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X)