KEITH JOHNSON

SANTA FE SPRINGS, CA
NPI1457075772
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2022-09-29
Last Update Date2023-05-02
Business Address
KEITH JOHNSON
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
Mailing Address
KEITH JOHNSON
12070 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3771
Phone number: 562-777-7500