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1285066753
LISA YVONNE JOHNSON
CARSON, CA
NPI
1285066753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-139400)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
Ms. LISA YVONNE JOHNSON
21828 AVALON BLVD
CARSON, CA 90745-3303
Phone number: 424-477-5225
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Mailing Address
Ms. LISA YVONNE JOHNSON
21828 S. AVALON BLVD
CARSON, CA 90745
Phone number: 424-477-5225
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