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Jacqueline Johnson
Peer Specialist in Columbus, Ohio
NPI 1679114508

Jacqueline Johnson is a Peer Specialist based in Columbus, OH. Jacqueline Johnson practices in Columbus, OH. The NPI Number for Jacqueline Johnson is 1679114508 and holds a License No. (Ohio).

The current practice location address for Jacqueline Johnson is 773 Gilbert St, Columbus, OH and can be reached out via phone at 614-266-8033.

Location: 773 Gilbert St, Columbus, OH, 43206-1516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679114508
Provider Name
Jacqueline Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
773 Gilbert St, Columbus, OH, 43206-1516
Phone Number
614-266-8033
Fax Number
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
773 Gilbert St
City
Columbus
State
Ohio
Zip
43206-1516
Phone Number
614-266-8033
Fax Number
person
Provider Business Mailing Address Details
Address
773 Gilbert St
City
Columbus
State
Ohio
Zip
43206-1516
Phone Number
614-266-8033
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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