Individual
JAN E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,CS
Contact information
Practice address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 635-3171
(308) 635-7026
Mailing address
2465 VALENCIA DR, GERING, NE 69341-1934
(308) 436-4990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
26476
NE
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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