Individual
JERILYN T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2452 W 500 S UNIT 7, SPRINGVILLE, UT 84663-5773
(801) 557-3335
Mailing address
2452 W 500 S UNIT 7, SPRINGVILLE, UT 84663-5773
(801) 557-3335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7010989-3501
UT
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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