SCOTT DAVID JOHNSON

BLOOMINGTON, CA
NPI1083379903
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1419230221)
Enumeration Date2021-11-04
Last Update Date2023-07-20
Business Address
SCOTT DAVID JOHNSON
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
Mailing Address
SCOTT DAVID JOHNSON
3050 DUNDEE AVE
HIGHLAND, CA 92346-1803
Phone number: 909-838-9616
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