Johnson, Jacqueline J
Johnson, Jacqueline J is an individual health care provider with primary practice located at 642 Dameron Dr , Prescott AZ 86301-2411. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Jacqueline J can be contacted via phone (928) 445-5211.Contact Information
Primary practice address
642 Dameron Dr
Prescott AZ 86301-2411
Phone: (928) 445-5211
Fax: (928) 776-8484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 10592 | Arizona |
Profile Details
| NPI number | 1225192529 |
|---|---|
| LBN Legal business name | Johnson, Jacqueline J |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225192529 | NPPES |
| Arizona | MEDICAID | 742991 |
Popular Providers
-
Schuderer, John M
642 Dameron Dr West Yavapai Guidance Clinic Inc Hillside Cd, Prescott AZ 86301-2411 -
Hoops, Kevin John
537 North 6Th St Suite C, Prescott AZ 86301-2021 -
Kibbee, Carol H
3103 Clearwater Dr Suite B, Prescott AZ 86305 -
Rice, Gerry
505 S Cortez St Cortez Clinic, Prescott AZ 86303-4319 -
Cook, Carol Jean
134 Garden St # B , Prescott AZ 86305-2906 -
Scherer-Hicks, Susan G
642 Dameron Dr , Prescott AZ 86301-2411 -
Collins, Michael D
141 S Mccormick St Ste 206L , Prescott AZ 86303-4729 -
Sutherland, Linda L
505 S Cortez St Cortez Clinic, Prescott AZ 86303-4319