Individual
JENNIFER MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ED.S, LPC
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6734
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4526
WI
101YP2500X
Professional Counselor
4526
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017972
—
WI
Enumeration date
05/30/2008
Last updated
10/07/2025
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