Individual
JENNA MICHELLE JOHNSON-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1205 GRAND AVE, SAINT PAUL, MN 55105-2634
(317) 607-2121
Mailing address
1492 HAZEL ST N, SAINT PAUL, MN 55119-4227
(317) 607-2121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3313
MN
Other
Enumeration date
04/21/2025
Last updated
02/12/2026
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