MS. Jacqueline Ruth Johnson, M.DIV.

NPI #1750504353 in Decatur, Georgia

Provider Information

NPI Number
1750504353
Entity Type
Individual
Name
MS. Jacqueline Ruth Johnson, M.DIV.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Addiction (Substance Use Disorder)
Credential
M.DIV.
Enumeration Date
Apr 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4425 MEMORIAL DR
State
Georgia
ZIP Code
30032-1337
Phone
(404) 298-8383

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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