Most Relevant Information
Provider Data
  | NPI Number: | 1003309980 | 
| Provider Name: | KATELYN D JOHNSON LISW | 
| Entity Type: | Individual | 
| Taxonomy Code: | 104100000X | 
| Specialty: | Social Worker | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 06/14/2018 | 
| Last Updated: | 06/06/2024 | 
Provider Practice Location
  4 BUCKEYE DR STE E302
      
      NELSONVILLE
      OH
      457649591
  Practice Location Phone/Fax
      | Phone: | 7407536240 | 
| Fax: | 7407536241 | 
Provider Mailing Location
  PO BOX 188
      
      CHILLICOTHE
      OH
      456010188
  Provider Mailing Phone/Fax
      | Phone: | 7407734366 | 
| Fax: | 7407757855 |