Individual
JENNY LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC
Contact information
Practice address
2057 BROOKWOOD DR, COLORADO SPRINGS, CO 80918-1135
(719) 290-8860
Mailing address
2057 BROOKWOOD DR, COLORADO SPRINGS, CO 80918-1135
(719) 290-8860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0008305
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001918
CO
101YP2500X
Professional Counselor
Primary
LPC.0017586
CO
Other
Enumeration date
09/13/2018
Last updated
03/08/2026
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