Jenna Gabrielle Johnson in Sonora - Clinical
Jenna Gabrielle Johnson - NPI 1710969191
Jenna Gabrielle Johnson is a Clinical in Sonora, California. Jenna Gabrielle Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jenna Gabrielle Johnson is 1710969191. The last update date is 2023-12-04.
Jenna Gabrielle Johnson's current location address is 230 S Shepherd St Ste D, Sonora, California. You can contact this provider via phone number 2094323616 and fax number 2096944571. The mailing address for Jenna Gabrielle Johnson is 230 S Shepherd St Ste D, Sonora, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenna Gabrielle Johnson |
|---|---|
| Address | 230 S Shepherd St Ste D, Sonora, California |
| Phone Number | 2094323616 |
| Fax Number | 2096944571 |
| Sole Proprietor | Y |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1710969191 |
|---|---|
| Provider Enumeration Date | 2005-11-19 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | 230 S Shepherd St Ste D |
|---|---|
| City | Sonora |
| State | California (CA) |
| Post Code | 953705076 |
| Phone Number | 2094323616 |
| Fax Number | 2096944571 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18496 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Jenna Gabrielle Johnson by the Centers for Medicare & Medicaid Services?
The Jenna Gabrielle Johnson has been assigned the NPI (National Provider Identifier) 1710969191. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jenna Gabrielle Johnson?
The Jenna Gabrielle Johnson is situated at 230 S Shepherd St Ste D, in the city of Sonora, state of CA, with the zip code 953705076.
What is Jenna Gabrielle Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jenna Gabrielle Johnson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Jenna Gabrielle Johnson receive its 1710969191?
The Jenna Gabrielle Johnson was issued its 1710969191 on 2005-11-19, which is the date when the organization was assigned this unique identifier.
When was the Jenna Gabrielle Johnson's information last updated?
The Jenna Gabrielle Johnson's information was last updated on 2023-12-04.
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