Individual
JESSICA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 E 20TH AVE, ANCHORAGE, AK 99508-3418
(907) 222-7300
Mailing address
118 BURTON ST APT B, ANCHORAGE, AK 99504-1203
(907) 312-0643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/11/2019
Last updated
04/28/2022
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