Johnson, Jacquelin

Johnson, Jacquelin is an sole proprietor health care provider with primary practice located at 2206 Quail Hollow Dr , Bryan TX 77802-2919. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Johnson, Jacquelin can be contacted via phone (512) 939-4843.

Contact Information

Primary practice address
2206 Quail Hollow Dr Bryan TX 77802-2919
Phone: (512) 939-4843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 12830721 Texas

Profile Details

NPI number 1992477004
LBN Legal business name Johnson, Jacquelin
Credentials RSPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2021
Last updated Sep 28th, 2021 - about 5 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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