# JESSICA RAE JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245783760
- **Gender:** F
- **Credential:** LPCC, NCC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 0201921 | NM | Yes |

## Other

- **Enumeration date:** 08/02/2016
- **Last updated:** 07/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 63238730 | — | NM |