Individual
JEANNIE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW-PIP
Contact information
Practice address
420 JAMES FRAZIER RD, LACEYS SPRING, AL 35754-7313
(256) 479-1866
Mailing address
420 JAMES FRAZIER RD, LACEYS SPRING, AL 35754-7313
(256) 479-1866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2117C
AL
Other
Enumeration date
08/24/2010
Last updated
02/20/2021
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