Individual
MR. JASON L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CAS
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-5000
Mailing address
4202 E CACTUS RD, #8301, PHOENIX, AZ 85032-7660
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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