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Jacqueline Johnson
Health Service Psychologist in Atlanta, Georgia
NPI 1811160740

Jacqueline Johnson is a Health Service Psychologist based in Atlanta, GA and is specialized in Health Service. Jacqueline Johnson practices in Atlanta, GA. The NPI Number for Jacqueline Johnson is 1811160740 and holds a License No. (Georgia).

The current practice location address for Jacqueline Johnson is 2107 Gardenwood Ct, Atlanta, GA and can be reached out via phone at 404-857-8639.

Location: 2107 Gardenwood Ct, Atlanta, GA, 30349-3206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811160740
Provider Name
Jacqueline Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2107 Gardenwood Ct, Atlanta, GA, 30349-3206
Phone Number
404-857-8639
Fax Number
Provider Enumeration Date
04/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
372320984B 05 GA
institution
Provider Business Practice Location Address Details
Address
2107 Gardenwood Ct
City
Atlanta
State
Georgia
Zip
30349
Phone Number
404-857-8639
Fax Number
person
Provider Business Mailing Address Details
Address
2107 Gardenwood Ct
City
Atlanta
State
Georgia
Zip
30349
Phone Number
404-857-8639
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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