Individual
JILL MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LMHP
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
Mailing address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075889
IA
101YM0800X
Mental Health Counselor
4333
NE
101YP2500X
Professional Counselor
2108
NE
Other
Enumeration date
03/23/2011
Last updated
12/12/2014
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