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1487997078
JACQUELINE M JOHNSON
FORT COLLINS, CO
NPI
1487997078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC006739)
Enumeration Date
2013-04-01
Last Update Date
2018-12-19
Business Address
Ms. JACQUELINE M JOHNSON LPC
2625 REDWING RD STE 110
FORT COLLINS, CO 80526-2878
Phone number: 404-723-5192
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Mailing Address
Ms. JACQUELINE M JOHNSON LPC
700 BUTTE PASS DR
FORT COLLINS, CO 80526-3569
Phone number: 404-422-3923
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