OCTAVIA S JOHNSON

COLTON, CA
NPI1104185529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-05-04
Last Update Date2012-05-04
Business Address
-- OCTAVIA S JOHNSON
790 VIA LATA STE 300
COLTON, CA 92324-3978
Phone number: 909-433-0445
Mailing Address
-- OCTAVIA S JOHNSON
790 VIA LATA STE 300
COLTON, CA 92324-3978
Phone number: 909-433-0445
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