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Individual
JASON JESSE JOHNSON
Active
Individual
JASON JESSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
NULL
171M00000X
Case Manager/Care Coordinator
—
MD
175T00000X
Peer Specialist
—
NULL
225C00000X
Rehabilitation Counselor
—
NULL
251E00000X
Home Health Agency
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
05/25/2019
Last updated
10/17/2021
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