Individual
JADE D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6701 HIGHWAY 67, BENTON, AR 72015-8909
(501) 303-3105
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
PLMSW
AZ
1041C0700X
Clinical Social Worker
Primary
8622-C
AR
Other
Enumeration date
10/23/2017
Last updated
09/15/2025
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