Individual
JORDIN BERNICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3654 REVOLUTIONARY DR, COLUMBUS, OH 43207-6535
(614) 390-5091
Mailing address
3654 REVOLUTIONARY DR, COLUMBUS, OH 43207-6535
(614) 390-5091
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
OH
1041C0700X
Clinical Social Worker
Primary
I.2405168
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31-1258042
—
OH
Enumeration date
08/02/2017
Last updated
04/09/2024
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