.STEPHAN L JOHNSON

VALLEJO, CA
NPI1396986394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-03-20
Last Update Date2009-03-20
Business Address
Mr. .STEPHAN L JOHNSON
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: 707-647-1520
Mailing Address
Mr. .STEPHAN L JOHNSON
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: