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Individual
JACARRIAH JOHNSON
Active
Individual
JACARRIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C082899137
OK
106H00000X
Marriage & Family Therapist
Primary
122173
CA
106H00000X
Marriage & Family Therapist
87473
CA
106H00000X
Marriage & Family Therapist
AMF87473
CA
Other
Enumeration date
03/10/2008
Last updated
02/09/2022
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