Johnson, Jacqueline Kay

Johnson, Jacqueline Kay is an sole proprietor health care provider with primary practice located at 416 N Kendrick St , Flagstaff AZ 86001-1598. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Johnson, Jacqueline Kay can be contacted via phone (928) 774-9123.

Contact Information

Primary practice address
416 N Kendrick St Flagstaff AZ 86001-1598
Phone: (928) 774-9123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1104 Arizona
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1396959664
LBN Legal business name Johnson, Jacqueline Kay
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 26th, 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.

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