Individual
JENNIFER ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 TYLER WAY, SPARKS, NV 89431-2172
(775) 356-0371
Mailing address
860 TYLER WAY, SPARKS, NV 89431-2172
(775) 356-0371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02332-I
NV
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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