STEPHANIE MONIQUE JOHNSON

SAN RAFAEL, CA
NPI1063882827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies175T00000X Peer Specialist
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-10-05
Last Update Date2023-07-26
Business Address
STEPHANIE MONIQUE JOHNSON
3230 KERNER BLVD
SAN RAFAEL, CA 94901-4840
Phone number: 414-473-4101
Mailing Address
STEPHANIE MONIQUE JOHNSON
3230 KERNER BLVD
SAN RAFAEL, CA 94901-4840
Phone number: