Jacqueline J Johnson, LPC Valid NPI

Individual provider · Professional Counselor · Prescott, AZ

NPI

1225192529

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

LPC 10592 (AZ)

Sex

Female

Sole proprietor

No

Enumerated

2006-12-20

Last updated

2007-07-08