Individual
JESSIE LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2133 ARCH ST STE 304, PHILADELPHIA, PA 19103-1350
(217) 369-6793
Mailing address
5835 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4446
(217) 369-6793
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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