Jennifer Johnson, CPSW

NPI #1093353393 in T Or C, New Mexico

Provider Information

NPI Number: 1093353393
Entity Type: Individual
Name: Jennifer Johnson, CPSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CPSW
Enumeration Date: Dec 17, 2019
Last Updated: Feb 19, 2020

Practice Location

Address: 614 MCADOO ST STE B
City: T Or C
State: New Mexico
ZIP Code: 87901-2706
Phone: (575) 297-0171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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