Individual
MRS. JENNIFER MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
1905 STADIUM BLVD, JEFFERSON CITY, MO 65109-1961
(573) 634-3000
Mailing address
PO BOX 104146, JEFFERSON CITY, MO 65110-4146
(573) 634-3000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012003538
MO
Other
Enumeration date
12/10/2009
Last updated
05/29/2014
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