Individual
JESSE LAUREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1515 QUINTARA ST, SAN FRANCISCO, CA 94116-1273
(415) 759-2796
Mailing address
185 CHANNEL ST APT 611, SAN FRANCISCO, CA 94158-1730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009922897
CO
104100000X
Social Worker
113293
CA
Other
Enumeration date
05/05/2022
Last updated
01/22/2026
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