Individual
JENA P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
713 N EUGENE ST, GREENSBORO, NC 27401-1621
(336) 270-9501
Mailing address
6030 FORDING CREEK LN, KERNERSVILLE, NC 27284-6347
(336) 301-3426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15749
NC
Other
Enumeration date
07/09/2020
Last updated
08/02/2022
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