Johnson, Traci

Johnson, Traci is an individual health care provider with primary practice located at 5607 W 75Th Ter , Prairie Village KS 66208-4517. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Johnson, Traci can be contacted via phone (913) 957-0623.

Contact Information

Primary practice address
5607 W 75Th Ter Prairie Village KS 66208-4517
Phone: (913) 957-0623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 9167156576 Kansas
Behavioral Health & Social Service Providers / Social Worker 104100000X 7918 Kansas

Profile Details

NPI number 1457991358
LBN Legal business name Johnson, Traci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2020
Last updated Oct 16th, 2023 - about last year

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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