Johnson, Jacky Catherine
Johnson, Jacky Catherine is an sole proprietor health care provider with primary practice located at 5262 N 148Th Ave , Litchfield Park AZ 85340-2843. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Johnson, Jacky Catherine can be contacted via phone (503) 484-5190.Contact Information
Primary practice address
5262 N 148Th Ave
Litchfield Park AZ 85340-2843
Phone: (503) 484-5190
Fax: (623) 322-1838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT-15214 | Arizona |
Profile Details
| NPI number | 1407211626 |
|---|---|
| LBN Legal business name | Johnson, Jacky Catherine |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2015 |
| Last updated | Jan 21st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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