Individual
MS. JAYNE D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CAP
Contact information
Practice address
4200 N OCEAN DR, SUITE 301-1, SINGER ISLAND, FL 33404-2856
(561) 841-7789
(561) 841-7789
Mailing address
4200 N OCEAN DR, SUITE 301-1, SINGER ISLAND, FL 33404-2856
(561) 841-7789
(561) 841-7789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1246
FL
101YP2500X
Professional Counselor
1246
FL
103K00000X
Behavior Analyst
1246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1246
CERTIFIED ADDICTIONS PROFESSIONAL
FL
Enumeration date
11/15/2010
Last updated
11/15/2010
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