Individual
JENNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 UNIVERSITY DR, LEWIS GOODHOUSE WELLNESS CENTER, BISMARCK, ND 58504-7565
(701) 255-3285
(701) 530-0645
Mailing address
3315 UNIVERSITY DR, LEWIS GOODHOUSE WELLNESS CENTER, BISMARCK, ND 58504-7565
(701) 255-3285
(701) 530-0645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
748-4-15-13A
ND
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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