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Individual
JENNELLE JOHNSON
Active
Individual
JENNELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
82564
CA
101YM0800X
Mental Health Counselor
Primary
SC61477525
WA
104100000X
Social Worker
122331
CA
104100000X
Social Worker
14432
LA
104100000X
Social Worker
SC61477525
WA
Other
Enumeration date
08/04/2014
Last updated
11/06/2025
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