Johanna Jacqueline Ancheta
Johanna Jacqueline Ancheta is a Student in an Organized Health Care Education/Training Program in Honolulu, Hawaii. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan and New Jersey.
- Licensed in
- MI, NJ
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
Honolulu, HINo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 40 E Ferry St, Detroit, MI 48202-3802 — (734) 785-7705
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6801116976 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence A58664067159892 (NJ) |
Record details
| NPI number | 1265884019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | July 5, 2016 |
| Last updated in NPPES | May 5, 2024 |
| Certification date | May 5, 2024 |
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