Individual
JENICE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSW LICDC
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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