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Individual
MRS. REENA JAYANT JOHNSON
Active
Individual
MRS. REENA JAYANT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00258600
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05716800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210722291
—
NJ
Enumeration date
05/08/2017
Last updated
05/08/2017
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