Individual
JENNA ALANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CADC-I
Contact information
Practice address
1130 NW 22ND AVE STE 520, PORTLAND, OR 97210-2976
(503) 274-4800
(503) 274-4917
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C2956
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500652257
—
OR
Enumeration date
03/11/2010
Last updated
01/29/2026
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