Jacky Catherine Johnson, LMFT in Litchfield Park, AZ - Marriage & Family Therapist

Jacky Catherine Johnson, LMFT is a Marriage & Family Therapist based in Litchfield Park, Arizona. Jacky Catherine Johnson is licensed to practice in Arizona (license number LMFT-15214) and her current practice location is 5262 N 148th Ave, Litchfield Park, Arizona. She can be reached at her office (for appointments etc.) via phone at (503) 484-5190.

NPI number for Jacky Catherine Johnson is 1407211626 and her current mailing address is 5262 N 148th Ave, Litchfield Park, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407211626.

Contact Information

	Jacky Catherine Johnson, LMFT
	5262 N 148th Ave, Litchfield Park, AZ 85340-2843
	(503) 484-5190
	(623) 322-1838

Healthcare Provider's Profile

Full Name	Jacky Catherine Johnson
Gender	Female
Speciality	Marriage & Family Therapist
Location	5262 N 148th Ave, Litchfield Park, Arizona
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1407211626
Provider Enumeration Date: 12/16/2015
Last Update Date: 01/21/2021

Medical Identifiers

Medical identifiers for Jacky Catherine Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407211626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT-15214 (Arizona)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacky Catherine Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacky Catherine Johnson, LMFT 5262 N 148th Ave, Litchfield Park, AZ 85340-2843 Ph: (503) 484-5190	Jacky Catherine Johnson, LMFT 5262 N 148th Ave, Litchfield Park, AZ 85340-2843 Ph: (503) 484-5190

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Jacky Catherine Johnson, LMFT - Couples Therapy in Litchfield Park, AZ