Individual
JENNIFER TWICHELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1315 S ALLEN ST STE 102, STATE COLLEGE, PA 16801-5923
(814) 308-9067
(814) 308-9073
Mailing address
1256 S GARNER ST, STATE COLLEGE, PA 16801-6326
(814) 954-4939
(814) 308-9073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016079
PA
Other
Enumeration date
11/04/2008
Last updated
11/05/2020
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