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1457075772
KEITH JOHNSON
SANTA FE SPRINGS, CA
NPI
1457075772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-09-29
Last Update Date
2023-05-02
Business Address
KEITH JOHNSON
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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Mailing Address
KEITH JOHNSON
12070 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3771
Phone number: 562-777-7500
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