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Jacob R Johnson, COUNSELOR,PROF
Professional Counselor in Glendale, Arizona
NPI 1184180655

Jacob R Johnson is a Professional Counselor based in Phoenix, AZ and is specialized in Professional. Jacob R Johnson practices in Glendale, AZ and has the professional credentials of COUNSELOR,PROF. The NPI Number for Jacob R Johnson is 1184180655 and holds a License No. LPC-17622 (Arizona).

The current practice location address for Jacob R Johnson is 6151-6153 W. Olive Ave, Glendale, AZ and can be reached out via phone at 602-685-6000. You can also correspond with Jacob R Johnson through the mailing address at 3003 N CENTRAL AVE STE 200, PHOENIX, AZ - 85012-2914 (mailing address contact number: 602-685-6000).

Location: 6151-6153 W. Olive Ave, Glendale, AZ, 85012-2914
person
Provider Profile Details
NPI Number
1184180655
Provider Name
Jacob R Johnson
Credential
COUNSELOR,PROF
Provider Entity Type
Individual
Gender
Male
Address
6151-6153 W. Olive Ave, Glendale, AZ, 85012-2914
Phone Number
602-685-6000
Fax Number
Provider Enumeration Date
02/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6151-6153 W. Olive Ave
City
State
Zip
85302-8530
Phone Number
602-685-6000
Fax Number
person
Provider Business Mailing Address Details
Address
6151-6153 W. Olive Ave
City
State
Zip
85302-8530
Phone Number
602-685-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-17622 (Arizona)
Definition
Definition to come...
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