JACQUELINE JOHANSEN

SANTA ROSA, CA
NPI1346501244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-06-06
Last Update Date2012-06-06
Business Address
-- JACQUELINE JOHANSEN
1160 N DUTTON AVE SUITE 105
SANTA ROSA, CA 95401-4600
Phone number: 707-545-2700
Mailing Address
-- JACQUELINE JOHANSEN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: