Individual
JACQUELINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2588 S 1000 W, NIBLEY, UT 84321-6545
(425) 615-0860
Mailing address
2588 S 1000 W, NIBLEY, UT 84321-6545
(425) 615-0860
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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