JENNELLE JOHNSON

BOISE, ID
NPI1316579543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LCSW-43562)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW)
Enumeration Date2020-02-05
Last Update Date2024-03-04
Business Address
JENNELLE JOHNSON LMSW
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-2711
Mailing Address
JENNELLE JOHNSON LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: