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Individual

JENNIFER A JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6126 W STATE ST STE 102, BOISE, ID 83703-2741
(208) 994-4544
Mailing address
6126 W STATE ST STE 102, BOISE, ID 83703-2741
(208) 994-4544

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC6973
ID

Other

Enumeration date
01/24/2019
Last updated
10/29/2020
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