Jessica Lin Johnson, M.S.
Marriage & Family Therapist in Ventura, CA. Individual provider (NPI-1).
NPI number1316147697
StatusActive
Last updated in NPPESJul 24, 2007
Details
- NPI
- 1316147697
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lin Johnson
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2007
- Last updated
- Jul 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF 51912 | CA | Yes |
Practice location
70 W Simpson StVentura, CA 93001-1856
Phone 805-648-6953
Mailing address
70 W Simpson StVentura, CA 93001-1856
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