Organization Name: | JENINE JOHNSON AND ASSOCIATES LLC |
NPI Number: | 1053770131 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENINE JOHNSON (SOLE MBR) |
Mailing Address: | 7813 Montgomery Ave 1st Floor Elkins Park |
State: | PA US |
Postal Code: | 190272608 |
Phone Number: | 2157037865 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC007758 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |