| Doctor Name: | MS. JAYNE D JOHNSON |
| NPI Number: | 1245531797 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED, CAP |
| License Number: | 1246 |
| Business Practice Address: | 4200 N Ocean Dr Suite 301-1 Singer Island, FL - 334042856 |
| Business Phone Number: | 5618417789 |
| Business Fax Number: | 5618417789 |
| Mailing Address: | 4200 N Ocean Dr, Suite 301-1 SINGER ISLAND |
| State: | FL |
| Postal Code: | 334042856 |
| Phone Number: | 5618417789 |
| Fax Number: | 5618417789 |
| NPI Enumeration Date: | 11/15/2010 |
| NPI Last Update Date: | 11/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1246 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |