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1083141170
CLENZO JOHNSON
SACRAMENTO, CA
NPI
1083141170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-05-19
Last Update Date
2017-05-19
Business Address
Mr. CLENZO JOHNSON CADC-II CA
3600 POWER INN RD STE C
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2704
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Mailing Address
Mr. CLENZO JOHNSON CADC-II CA
3600 POWER INN RD STE C
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2704
Copy
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