Individual
JENNA B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG1097955
—
104100000X
Social Worker
Primary
SC61520920
WA
Other
Enumeration date
10/19/2021
Last updated
07/23/2024
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