Jacqueline Johansen
Jacqueline Johansen is a Mental Health Counselor in Santa Rosa, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1160 N Dutton Ave Ste 105Santa Rosa, CA 95401-4600
Phone: (707) 545-2700
Fax: (707) 545-2774
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1346501244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 6, 2012 |
| Last updated in NPPES | June 6, 2012 |
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