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1184180655
JACOB R JOHNSON
GLENDALE, AZ
NPI
1184180655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-17622)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
JACOB R JOHNSON Counselor, Prof
6151-6153 W. OLIVE AVE
GLENDALE, AZ 85302-8530
Phone number: 602-685-6000
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Mailing Address
JACOB R JOHNSON Counselor, Prof
3003 N CENTRAL AVE STE 200
PHOENIX, AZ 85012-2914
Phone number: 602-685-6000
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