Jennifer Rebecca Johnson LCSW

NPI 1366455008 - Social Worker - 1041C0700X

NPI Details
NPI 1366455008
Gender Female
Enumeration Date 08/14/2006
Last Updated 04/11/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
PEORIA IL, 61615-9323, US
Phone (309) 589-6800
Fax (309) 589-6993
Business Location
6538 N ALLEN RD APT 74
PEORIA IL, 61614-2489, US
Phone (309) 589-6800
Fax (309) 589-6993
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.013441
Remove 1366455008 NPI Number

According to our database, Ms. Jennifer Rebecca Johnson LCSW NPI is 1366455008, taxonomy code is 1041C0700X and license number is 149.013441, license state is located at Illinois. Jennifer Rebecca Johnson LCSW physically located at 7717 N Orange Prairie Rd, Peoria IL, 61615-9323. NPI Number Jennifer Rebecca Johnson LCSW has the Individual type.

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1366455008 NPI number is provided on an as is basis without warranty of any kind. 1366455008 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Rebecca Johnson LCSW are for informational purposes only.