person
Jacqueline J Johnson, LPC
Professional Counselor in Prescott, Arizona
NPI 1225192529

Jacqueline J Johnson is a Professional Counselor based in Prescott, AZ and is specialized in Professional. Jacqueline J Johnson practices in Prescott, AZ and has the professional credentials of LPC. The NPI Number for Jacqueline J Johnson is 1225192529 and holds a License No. LPC 10592 (Arizona).

The current practice location address for Jacqueline J Johnson is 642 Dameron Dr, Prescott, AZ and can be reached out via phone at 928-445-5211 and via fax at 928-776-8484. You can also correspond with Jacqueline J Johnson through the mailing address at 642 DAMERON DR, PRESCOTT, AZ - 86301-2411 (mailing address contact number: 928-445-5211).

Location: 642 Dameron Dr, Prescott, AZ, 86301-2411
person
Provider Profile Details
NPI Number
1225192529
Provider Name
Jacqueline J Johnson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
642 Dameron Dr, Prescott, AZ, 86301-2411
Phone Number
928-445-5211
Fax Number
928-776-8484
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
742991 05 AZ
institution
Provider Business Practice Location Address Details
Address
642 Dameron Dr
City
State
Zip
86301-2411
Phone Number
928-445-5211
Fax Number
928-776-8484
person
Provider Business Mailing Address Details
Address
642 Dameron Dr
City
State
Zip
86301-2411
Phone Number
928-445-5211
Fax Number
928-776-8484
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC 10592 (Arizona)
Definition
Definition to come...
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