Individual
JASON ANDERSON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
900 BEASLY STREET SUITE 120, LEXINGTON, KY 40509
(859) 254-1035
Mailing address
718 ELLISON CT, LEXINGTON, KY 40505-4085
(517) 402-6475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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