Individual provider · Type 1 NPI

Jenise Johnson, LAC

Mental Health Counselor · Tempe, AZ

NPI number 1831458918 Active

Practice location

2120 S Mcclintock Dr, Suite 105
Tempe, AZ 85282-2692

Fax (480) 302-7884

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-13823 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1831458918

Jenise Johnson, LAC's National Provider Identifier is 1831458918, issued on May 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tempe, AZ. The record was last updated on May 10, 2012.