Individual provider · Type 1 NPI

Jennifer Ann Johnson

Addiction (Substance Use Disorder) Counselor · Kenosha, WI

NPI number 1992639298 Active

Practice location

2108 63rd St
Kenosha, WI 53143-4454

Call (262) 652-2408 Map

Mailing address

6233 39th Ave
Kenosha, WI 53142-7015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17269-131 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992639298

Jennifer Ann Johnson's National Provider Identifier is 1992639298, issued on Jun 11, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kenosha, WI. The record was last updated on Jun 11, 2026.