Jennie Johnston's National Provider Identifier (NPI) Details
Jennie Johnston, LCSW, CDCS, MAC
NPI: 1700010550
Enumeration Date: 2009-05-07
Last updated: 2009-05-07
Sole Proprietor: NO
Status: active
Postal Address: 865 W WINTER AVE, WASILLA, AK
Phone: 907-376-5255
Primary Practice Address: 2925 DEBARR RD, ANCHORAGE, AK
Practice's phone: 907-257-4847