Individual provider · Type 1 NPI
Jacqualine Tia Johnson
Mental Health Counselor · Lodi, CA
NPI number
1477066520
Active
Practice location
1209 W Tokay St Ste 5
Lodi, CA 95240-3845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1477066520
Jacqualine Tia Johnson's National Provider Identifier is 1477066520, issued on Nov 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lodi, CA. The record was last updated on Nov 13, 2017.