Jacquelin Johnson, RSPS

NPI #1992477004 in Bryan, Texas

Provider Information

NPI Number: 1992477004
Entity Type: Individual
Name: Jacquelin Johnson, RSPS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: RSPS
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 2206 QUAIL HOLLOW DR
City: Bryan
State: Texas
ZIP Code: 77802-2919
Phone: (512) 939-4843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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