person
Jacqueline Johansen
Mental Health Counselor in Santa Rosa, California
NPI 1346501244

Jacqueline Johansen is a Mental Health Counselor based in San Leandro, CA and is specialized in Mental Health. Jacqueline Johansen practices in Santa Rosa, CA. The NPI Number for Jacqueline Johansen is 1346501244 and holds a License No. (California).

The current practice location address for Jacqueline Johansen is 1160 N Dutton Ave, Santa Rosa, CA and can be reached out via phone at 707-545-2700 and via fax at 707-545-2774. You can also correspond with Jacqueline Johansen through the mailing address at 2275 ARLINGTON DR, SAN LEANDRO, CA - 94578-1132 (mailing address contact number: ).

Location: 1160 N Dutton Ave, Santa Rosa, CA, 94578-1132
person
Provider Profile Details
NPI Number
1346501244
Provider Name
Jacqueline Johansen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1160 N Dutton Ave, Santa Rosa, CA, 94578-1132
Phone Number
707-545-2700
Fax Number
707-545-2774
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1160 N Dutton Ave
City
State
Zip
95401-4600
Phone Number
707-545-2700
Fax Number
707-545-2774
person
Provider Business Mailing Address Details
Address
1160 N Dutton Ave
City
State
Zip
95401-4600
Phone Number
707-545-2700
Fax Number
707-545-2774
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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