Individual
JENICE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSW LICDC
Contact information
Practice address
2929 KENNY RD STE 230, COLUMBUS, OH 43221-2415
(614) 321-9144
Mailing address
1255 N HAMILTON RD, GAHANNA, OH 43230-6785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151173
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162971
OH
104100000X
Social Worker
Primary
S.2403929-TRNE
OH
104100000X
Social Worker
Primary
S.2613349
OH
Other
Enumeration date
10/19/2017
Last updated
03/29/2026
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