person
Jacqualine Tia Johnson
Mental Health Counselor in Lodi, California
NPI 1477066520

Jacqualine Tia Johnson is a Mental Health Counselor based in Lodi, CA and is specialized in Mental Health. Jacqualine Tia Johnson practices in Lodi, CA. The NPI Number for Jacqualine Tia Johnson is 1477066520 and holds a License No. (California).

The current practice location address for Jacqualine Tia Johnson is 1209 W Tokay St Ste 5, Lodi, CA and can be reached out via phone at 209-331-2070.

Location: 1209 W Tokay St Ste 5, Lodi, CA, 95240-3845
person
Provider Profile Details
NPI Number
1477066520
Provider Name
Jacqualine Tia Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1209 W Tokay St Ste 5, Lodi, CA, 95240-3845
Phone Number
209-331-2070
Fax Number
Provider Enumeration Date
11/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1209 W Tokay St Ste 5
City
State
Zip
95240-3845
Phone Number
209-331-2070
Fax Number
person
Provider Business Mailing Address Details
Address
1209 W Tokay St Ste 5
City
State
Zip
95240-3845
Phone Number
209-331-2070
Fax Number
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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