Johnson, Kennidi

Johnson, Kennidi is an individual health care provider with primary practice located at 5501 Delmar Blvd Ste B300 , Saint Louis MO 63112-3078. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Johnson, Kennidi can be contacted via phone (314) 502-6539.

Contact Information

Primary practice address
5501 Delmar Blvd Ste B300 Saint Louis MO 63112-3078
Phone: (314) 502-6539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1619753779
LBN Legal business name Johnson, Kennidi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2023
Last updated Sep 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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