Jessica Partridge Johnson, | |
4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | |
(888) 291-4357 | |
Not Available |
Full Name | Jessica Partridge Johnson |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4160 Ocoee St N Ste 8, Cleveland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851830202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Centerstone Of Tennessee, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396767430 PECOS PAC ID: 9739088113 Enrollment ID: O20040106000489 |
Mailing Address | Practice Location Address |
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Jessica Partridge Johnson, 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 Ph: (888) 291-4357 | Jessica Partridge Johnson, 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 Ph: (888) 291-4357 |
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