Individual provider · Type 1 NPI

Jacob Johnson

Mental Health Counselor · Roseville, CA

NPI number 1548077860 Active

Practice location

720 Sunrise Ave
Roseville, CA 95661-4516

Mailing address

6744 Main Ave
Orangevale, CA 95662

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548077860

Jacob Johnson's National Provider Identifier is 1548077860, issued on Dec 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseville, CA. The record was last updated on Dec 11, 2024.