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Jessie Johnson
Professional Counselor in Florissant, Missouri
NPI 1043990864

Jessie Johnson is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Jessie Johnson practices in Florissant, MO. The NPI Number for Jessie Johnson is 1043990864 and holds a License No. (Missouri).

The current practice location address for Jessie Johnson is 1150 Graham Rd Ste 102, Florissant, MO and can be reached out via phone at 314-206-3900.

Location: 1150 Graham Rd Ste 102, Florissant, MO, 63103-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043990864
Provider Name
Jessie Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1150 Graham Rd Ste 102, Florissant, MO, 63103-2303
Phone Number
314-206-3900
Fax Number
Provider Enumeration Date
07/18/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2018026472 01 MO LPC
institution
Provider Business Practice Location Address Details
Address
1150 Graham Rd Ste 102
City
Florissant
State
Missouri
Zip
63031-8077
Phone Number
314-206-3900
Fax Number
person
Provider Business Mailing Address Details
Address
1150 Graham Rd Ste 102
City
Florissant
State
Missouri
Zip
63031-8077
Phone Number
314-206-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
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Definition
Definition to come...
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