Individual
MS. JENNIFER LABELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N ARGONNE RD STE B206, SPOKANE VALLEY, WA 99212-2873
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
61380976
WA
104100000X
Social Worker
Primary
SC61448603
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/28/2022
Last updated
01/08/2024
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