Individual
SAMANTHA JORDAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 OKEEFFE AVE APT 150, SUN PRAIRIE, WI 53590-4142
(608) 513-3080
Mailing address
1051 OKEEFFE AVE APT 150, SUN PRAIRIE, WI 53590-4142
(608) 513-3080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8297226
WI
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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