Jacob R Johnson, COUNSELOR, PROF is a professional counselor in Glendale, AZ. Jacob R Johnson, COUNSELOR, PROF NPI is 1184180655. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6151-6153 W. OLIVE AVE
GLENDALE, AZ
ZIP 85302-530
Phone: (602) 685-6000
The NPI 1184180655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 2/20/2019 and was last updated on 2/20/2019.