National Provider Identifier
Jennifer Rose Johnson
Jennifer Rose Johnson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Savona, NY and a listed phone number of (607) 329-8675.
Profile Overview
- NPI
- 1649657966
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 06, 2015
- Last Updated
- April 11, 2022
Practice Location
- 3 E Lamoka Ave
- Savona, NY 14879-9676
Phone: (607) 329-8675
Mailing Address
- 5386 Mills RD
- Campbell, NY 14821-9534
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1649657966
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Jennifer
- Middle Name
- Rose
- Mailing Street Address
- 5386 Mills RD
- Mailing City
- Campbell
- Mailing State
- NY
- Mailing ZIP Code
- 14821-9534
- Mailing Country
- US
- Mailing Phone
- (607) 329-8675
- Practice Street Address
- 3 E Lamoka Ave
- Practice City
- Savona
- Practice State
- NY
- Practice ZIP Code
- 14879-9676
- Practice Country
- US
- Practice Phone
- (607) 329-8675
- Enumeration Date
- May 06, 2015
- Last Updated
- April 11, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)