DELANCE R JOHNSON

SAN LEANDRO, CA
NPI1396545307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  20781)
Enumeration Date2025-03-18
Last Update Date2025-03-18
Business Address
DELANCE R JOHNSON
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
Mailing Address
DELANCE R JOHNSON
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836