Individual
JENIFER MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 935-6363
(714) 935-8112
Mailing address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 935-6344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
CA
175T00000X
Peer Specialist
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/07/2020
Last updated
02/21/2025
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