Individual
MRS. JENNA RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20832 SE DENVER DR, BEND, OR 97702-3922
(530) 906-8124
Mailing address
PO BOX 7162, BEND, OR 97708-7162
(530) 906-8124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
04/29/2024
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