Individual
JESSICA RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
5701 CARMEL AVE NE STE B, ALBUQUERQUE, NM 87113-2843
(505) 308-5226
(505) 514-0754
Mailing address
5701 CARMEL AVE NE STE B, ALBUQUERQUE, NM 87113-2843
(505) 595-6622
(505) 514-0754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0201921
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63238730
—
NM
Enumeration date
08/02/2016
Last updated
11/24/2025
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