Individual
JANE LOUISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2627 REDWING RD STE 235, FORT COLLINS, CO 80526-6352
(970) 266-2678
(970) 631-8873
Mailing address
2627 REDWING RD STE 235, FORT COLLINS, CO 80526-6352
(970) 266-2678
(970) 631-8873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
989157
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69785031
—
CO
Enumeration date
06/06/2006
Last updated
03/23/2022
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