Individual
MRS. JENNIFER LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 E PAGES LN, A, CENTERVILLE, UT 84014-2216
(801) 294-0578
Mailing address
602 E 1200 S, KAYSVILLE, UT 84037-4020
(801) 451-0845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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