Jessica Johnson

NPI #1891455127 in Jerseyville, Illinois

Provider Information

NPI Number: 1891455127
Entity Type: Individual
Name: Jessica Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 28, 2021
Last Updated: Dec 28, 2021

Practice Location

Address: 118 KRAUSE DR
City: Jerseyville
State: Illinois
ZIP Code: 62052-3610
Phone: (618) 498-1808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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