Johnson, Jenna Gabrielle
Johnson, Jenna Gabrielle is an sole proprietor health care provider with primary practice located at 230 S Shepherd St Ste D , Sonora CA 95370-5076. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Jenna Gabrielle can be contacted via phone (209) 432-3616.Contact Information
Primary practice address
230 S Shepherd St Ste D
Sonora CA 95370-5076
Phone: (209) 432-3616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY18496 | California |
Profile Details
| NPI number | 1710969191 |
|---|---|
| LBN Legal business name | Johnson, Jenna Gabrielle |
| Credentials | PSY D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2005 |
| Last updated | Dec 4th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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