| Katrina M. Johnson, Llc | |
|
106 Passive Sun Drive Soldiers Grove WI 54655 | |
| (608) 553-0279 | |
| Not Available |
| Full Name | Katrina M. Johnson, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 106 Passive Sun Drive, Soldiers Grove, Wisconsin |
| Authorized Official Name and Position | Katrina Johnson (THERAPIST) |
| Authorized Official Contact | 6085530279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina M. Johnson, Llc Po Box 145 Soldiers Grove WI 54655-0145 Ph: (608) 553-0279 | Katrina M. Johnson, Llc 106 Passive Sun Drive Soldiers Grove WI 54655 Ph: (608) 553-0279 |
| NPI Number | 1275164709 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 02/03/2020 |
| Certification Date | 02/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275164709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Scenic Bluffs Health Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47050 Cty Rd X, Soldiers Grove, WI 54665 Phone: 608-654-5100 Fax: 608-654-5120 | |
Equimotion, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10750 Gage Ln, Soldiers Grove, WI 54655 Phone: 608-632-4459 Fax: 608-638-7429 |