Johnson, Kristen Laprade
Johnson, Kristen Laprade is an individual health care provider with primary practice located at 551 Veterans United Dr , Columbia MO 65201-4236. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Johnson, Kristen Laprade can be contacted via phone (573) 882-4730.Contact Information
Primary practice address
551 Veterans United Dr
Columbia MO 65201-4236
Phone: (573) 882-4730
Fax: (573) 884-4899
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2022020084 | Missouri |
Profile Details
NPI number | 1689292740 |
---|---|
LBN Legal business name | Johnson, Kristen Laprade |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2020 |
Last updated | Feb 6th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689292740 | NPPES |
Missouri | MEDICAID | 490110029 |
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