Individual
JENNIE LOUISE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CDCS, MAC
Contact information
Practice address
2925 DEBARR RD, ANCHORAGE, AK 99508-2983
(907) 257-4847
(907) 257-6747
Mailing address
865 W WINTER AVE, WASILLA, AK 99654-6319
(907) 376-5255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
831
AK
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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