Individual provider · Type 1 NPI
Jana Johnson
Pastoral Counselor · Kemenuh, Sukawati, ID
NPI number
1063247096
Active
Practice location
Jln Tengkulak Kelod, No. 1, Ananda Vihar Villas
Kemenuh, Sukawati, ID 80571
Mailing address
113 Alva St
Waconia, MN 55387-9792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | None listed |
Pastoral Counselor: Definition to come...
About NPI 1063247096
Jana Johnson's National Provider Identifier is 1063247096, issued on Sep 9, 2024. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Kemenuh, Sukawati, ID. The record was last updated on Sep 9, 2024.