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1295513638
JACQUELINE MARIE JOHNSON
SAN DIEGO, CA
NPI
1295513638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA AMFT139657)
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
DR. JACQUELINE MARIE JOHNSON
1925 EUCLID AVE STE 108
SAN DIEGO, CA 92105-5362
Phone number: 619-648-1158
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Mailing Address
DR. JACQUELINE MARIE JOHNSON
517 21ST ST
SAN DIEGO, CA 92102-2814
Phone number: 858-245-3045
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