Individual
MRS. JAKEIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
85 BAGBY DR STE 336, HOMEWOOD, AL 35209-3717
(205) 545-0874
(205) 377-7762
Mailing address
4449 SOUTH DR, PINSON, AL 35126-2843
(205) 527-3503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4626C
AL
Other
Enumeration date
06/27/2022
Last updated
08/15/2022
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