Individual
JEAN NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1210 5TH AVE, WORTHINGTON, MN 56187-2432
(507) 372-1515
(507) 376-4494
Mailing address
PO BOX 175, WORTHINGTON, MN 56187-0175
(507) 372-1515
(507) 376-4494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31246
MN
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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