| Johnson Counseling Llc | |
|
996 Wilkinson Trce Ste A9 Bowling Green KY 42103-3408 | |
| (270) 784-0724 | |
| (270) 904-1073 |
| Full Name | Johnson Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 996 Wilkinson Trce Ste A9, Bowling Green, Kentucky |
| Authorized Official Name and Position | Jennifer Johnson (OWNER) |
| Authorized Official Contact | 2707840724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Counseling Llc 996 Wilkinson Trce Ste A9 Bowling Green KY 42103-3408 Ph: (270) 784-0724 | Johnson Counseling Llc 996 Wilkinson Trce Ste A9 Bowling Green KY 42103-3408 Ph: (270) 784-0724 |
| NPI Number | 1689102204 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7618245952 |
|---|---|
| Medicare Enrollment ID | O20170609001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689102204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 252186 (Kentucky) | Primary |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659786036 PECOS PAC ID: 2062793656 Enrollment ID: I20161219001369 |
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