Individual
JACKY CATHERINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5262 N 148TH AVE, LITCHFIELD PARK, AZ 85340-2843
(503) 484-5190
(623) 322-1838
Mailing address
5262 N 148TH AVE, LITCHFIELD PARK, AZ 85340-2843
(503) 484-5190
(623) 322-1838
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15214
AZ
Other
Enumeration date
12/16/2015
Last updated
01/21/2021
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