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1124226808
IVAN R JOHNSON
LOS ANGELES, CA
NPI
1124226808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 122126)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-07-05
Last Update Date
2023-06-27
Business Address
IVAN R JOHNSON Intake Specialist
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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Mailing Address
IVAN R JOHNSON Intake Specialist
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
Copy
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