KENNETH WAYNE JOHNSON

CONCORD, CA
NPI1033483946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-02-24
Last Update Date2012-02-24
Business Address
Mr. KENNETH WAYNE JOHNSON
2600 STANWELL DR STE 220
CONCORD, CA 94520-4828
Phone number: 925-363-5000
Mailing Address
Mr. KENNETH WAYNE JOHNSON
2600 STANWELL DR STE 220
CONCORD, CA 94520-4828
Phone number: 925-363-5000