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1649734583
JENNIFER A JOHNSON
BOISE, ID
NPI
1649734583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC6973)
Enumeration Date
2019-01-24
Last Update Date
2020-10-29
Business Address
JENNIFER A JOHNSON LPC
6126 W STATE ST STE 102
BOISE, ID 83703-2741
Phone number: 208-994-4544
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Mailing Address
JENNIFER A JOHNSON LPC
6126 W STATE ST STE 102
BOISE, ID 83703-2741
Phone number: 208-994-4544
Copy
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