Individual provider · Type 1 NPI

Jacqueline Marie Johnson

Mental Health Counselor · San Diego, CA

NPI number 1295513638 Active

Practice location

1925 Euclid Ave Ste 108
San Diego, CA 92105-5362

Mailing address

517 21st St
San Diego, CA 92102-2814

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAMFT139657 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1295513638

Jacqueline Marie Johnson's National Provider Identifier is 1295513638, issued on Sep 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Sep 18, 2023.