Johnson, Jacqueline M
Johnson, Jacqueline M is an individual health care provider with primary practice located at 2625 Redwing Rd Ste 110 , Fort Collins CO 80526-2878. 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 M can be contacted via phone (404) 723-5192.Contact Information
Primary practice address
2625 Redwing Rd Ste 110
Fort Collins CO 80526-2878
Phone: (404) 723-5192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC006739 | Georgia |
Profile Details
| NPI number | 1487997078 |
|---|---|
| LBN Legal business name | Johnson, Jacqueline M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2013 |
| Last updated | Dec 19th, 2018 - about 8 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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