Individual
MS. JENEE JAKIRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, BCD
Contact information
Practice address
1200 E BROAD ST, RICHMOND, VA 23298-5058
(804) 628-6513
Mailing address
PO BOX 980413, RICHMOND, VA 23298-0413
(804) 628-6513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010158
VA
Other
Enumeration date
03/06/2018
Last updated
10/16/2019
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