Individual
JENNIFER C JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1025 PENNOCK PL STE 114, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8820
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-9761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LSW.0009920867
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926623
CO
Other
Enumeration date
12/02/2015
Last updated
04/29/2020
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