Individual
MS. JACQUELINE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2625 REDWING RD STE 110, FORT COLLINS, CO 80526-2878
(404) 723-5192
Mailing address
700 BUTTE PASS DR, FORT COLLINS, CO 80526-3569
(404) 422-3923
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006739
GA
Other
Enumeration date
04/01/2013
Last updated
12/19/2018
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