Individual
JESSICA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
(865) 637-4362
Mailing address
1130 LINCOLN RD, MARYVILLE, TN 37804-3066
(865) 659-0615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
224Z00000X
Occupational Therapy Assistant
Primary
3862
TN
Other
Enumeration date
04/17/2006
Last updated
10/07/2022
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