Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10391 DOUBLE R BLVD, RENO, NV 89521-5991
(775) 622-4799
Mailing address
10391 DOUBLE R BLVD, RENO, NV 89521-5991
(775) 622-4799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10923-M
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/18/2019
Last updated
11/17/2023
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