Individual
JEANNE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1409 N ZANG BLVD APT 222, DALLAS, TX 75203-1203
(214) 631-9354
Mailing address
1409 N ZANG BLVD APT 222, DALLAS, TX 75203-1203
(214) 631-9354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
75105
TX
101YM0800X
Mental Health Counselor
Primary
75105
TX
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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