TIMOTHY MICHAEL JOHNSON

SANTA ROSA, CA
NPI1184004798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2015-06-09
Last Update Date2018-06-28
Business Address
TIMOTHY MICHAEL JOHNSON
2460 W 3RD ST STE 230
SANTA ROSA, CA 95401
Phone number: 707-806-9482
Mailing Address
TIMOTHY MICHAEL JOHNSON
PO BOX 112
OCCIDENTAL, CA 95465-0112
Phone number: 707-806-9482