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JACOB JOHNSON, COUNSELOR, PROF

COUNSELOR, PROF

Professional Counselor

NPI: 1184180655IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor — Professional

Code: 101YP2500X

LPC-17622(AZ)

Counselor

Code: 101Y00000X

LPC-17622(AZ)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2015

Contact & Hours

Address
16601 N 40TH ST STE 216
PHOENIX, AZ 85032

Quick Facts

NPI
1184180655
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
11

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