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1184004798
TIMOTHY MICHAEL JOHNSON
SANTA ROSA, CA
NPI
1184004798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2015-06-09
Last Update Date
2018-06-28
Business Address
TIMOTHY MICHAEL JOHNSON
2460 W 3RD ST STE 230
SANTA ROSA, CA 95401
Phone number: 707-806-9482
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Mailing Address
TIMOTHY MICHAEL JOHNSON
PO BOX 112
OCCIDENTAL, CA 95465-0112
Phone number: 707-806-9482
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