Individual
JENNIFER BOLAR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28851 N MAIN ST, DAPHNE, AL 36526-7273
(251) 615-1233
Mailing address
28851 N MAIN ST, DAPHNE, AL 36526-7273
(251) 615-1233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04448
AL
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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