Individual
MRS. JENNA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LMHC
Contact information
Practice address
6038 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2590
(317) 296-4914
Mailing address
12950 GRAND BLVD APT 2A-15, CARMEL, IN 46032-5290
(815) 790-6305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005075A
IN
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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