Provider Demographics
NPI:1366910408
Name:JOHNS, KENYA SEANTICE (LPC, NCC, CAADC, CCT)
Entity type:Individual
Prefix:
First Name:KENYA
Middle Name:SEANTICE
Last Name:JOHNS
Suffix:
Gender:F
Credentials:LPC, NCC, CAADC, CCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4128
Mailing Address - Country:US
Mailing Address - Phone:724-494-1207
Mailing Address - Fax:
Practice Address - Street 1:1523 5TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4128
Practice Address - Country:US
Practice Address - Phone:724-494-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010704101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional