Individual
JACEY COLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
150 S NEVADA HIGHWAY 160 STE 8-575, PAHRUMP, NV 89048-2176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010714
NC
Other
Enumeration date
10/28/2014
Last updated
03/19/2026
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