Jacqueline Johansen is a mental health counselor in Santa Rosa, CA. Jacqueline Johansen NPI is 1346501244. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1160 N DUTTON AVE
SUITE 105
SANTA ROSA, CA
ZIP 95401-600
Phone: (707) 545-2700
Fax: (707) 545-2774
The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.