Individual
JALYNNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 358-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 358-6685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.176539
OH
101YM0800X
Mental Health Counselor
QMHS
OH
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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