Individual
JONATHAN EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(267) 639-0788
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(267) 639-0788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS22274
CA
Other
Enumeration date
11/30/2006
Last updated
12/19/2024
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