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Individual

JENNIFER NICHOLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 S HUMAHUACA ST, PAHRUMP, NV 89048-2199
(177) 568-4501
(775) 751-7409
Mailing address
727 FAIRVIEW DR STE A, CARSON CITY, NV 89701-5493
(775) 687-5000
(775) 687-1181

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
09/16/2021
Last updated
09/17/2021
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