KELLY JOHNSON

Counselor

Active Individual
NPI: 1063382679

Practice Address

17505 N 79TH AVE STE 311GANDC
Glendale, AZ 85308

Phone: (602) 876-2029

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1063382679 is the National Provider Identifier for KELLY JOHNSON, a Counselor provider located in Glendale, AZ. This NPI was enumerated on November 8, 2025.
KELLY JOHNSON practices at 17505 N 79TH AVE STE 311GANDC, Glendale, AZ 85308.

Quick Facts

NPI
1063382679
Type
Individual
Enumerated
Nov 8, 2025
Last Updated
Nov 8, 2025

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