Jacquelyn L Johnson, MS, CGC
NPI #1194380576 in Bloomington, Illinois
Provider Information
- NPI Number
- 1194380576
- Entity Type
- Individual
- Name
- Jacquelyn L Johnson, MS, CGC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Genetic Counselor, MS
- Credential
- MS, CGC
- Enumeration Date
- May 1, 2019
- Last Updated
- Oct 5, 2021
Practice Location
- Address
- 2200 E WASHINGTON ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4364
- Phone
- (309) 665-4849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Genetic Counselor, MS |
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