Jacqualine Tia Johnson
Jacqualine Tia Johnson is a Mental Health Counselor in Lodi, California. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1209 W Tokay St Ste 5Lodi, CA 95240-3845
Phone: (209) 331-2070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1477066520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 13, 2017 |
| Last updated in NPPES | November 13, 2017 |
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