Jeanette Johnson

NPI #1770937450 in Salida, Colorado

Provider Information

NPI Number: 1770937450
Entity Type: Individual
Name: Jeanette Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 19, 2016
Last Updated: Apr 19, 2016

Practice Location

Address: 111 VESTA RD
City: Salida
State: Colorado
ZIP Code: 81201-9327
Phone: (719) 275-2351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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