IVAN R JOHNSON

LOS ANGELES, CA
NPI1124226808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  122126)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2007-07-05
Last Update Date2023-06-27
Business Address
IVAN R JOHNSON Intake Specialist
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
Mailing Address
IVAN R JOHNSON Intake Specialist
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425