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1053899120
AUDREY LYNN JOHNSON
SACRAMENTO, CA
NPI
1053899120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-01
Last Update Date
2021-05-17
Business Address
AUDREY LYNN JOHNSON RADT-1
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-714-5400
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Mailing Address
AUDREY LYNN JOHNSON RADT-1
5010 LAGUNA PARK DR
ELK GROVE, CA 95758-5241
Phone number: 916-802-2629
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