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Jacob Johnson, COUNSELOR, PROF
NPI 1184180655 · on the registry since 2019 · sole proprietor
Practice
- Address
- 16601 N 40th St Ste 216
Phoenix, AZ 85032 - Phone
- (623) 469-0606
- Organisation at this address
- Drsm, Pc
Bfai, Llc
Pain Free, Llc
Theraville Pllc
Level Up PhoenixInferred from a shared address, not stated in the registry. - Clinicians at this address
- 72
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Counselor
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona