| Kevin Johnson Clinical Services | |
|
321 N Mall Dr Ste E102 St George UT 84790-7305 | |
| (435) 225-4357 | |
| Not Available |
| Full Name | Kevin Johnson Clinical Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 321 N Mall Dr Ste E102, St George, Utah |
| Authorized Official Name and Position | Kevin R. Johnson (OWNER) |
| Authorized Official Contact | 4352254357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Johnson Clinical Services 1202 Saint James Ln St George UT 84790-6743 Ph: (435) 225-4357 | Kevin Johnson Clinical Services 321 N Mall Dr Ste E102 St George UT 84790-7305 Ph: (435) 225-4357 |
| NPI Number | 1710253869 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710253869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5962642-3501 (Utah) | Primary |
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