OTTIS JOHNSON

LAKE ELSINORE, CA
NPI1497889182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  03-039448)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
MR. OTTIS JOHNSON C.A.S.
565 CHANEY ST
LAKE ELSINORE, CA 92530-2722
Phone number: 951-674-5354
Mailing Address
MR. OTTIS JOHNSON C.A.S.
565 CHANEY ST
LAKE ELSINORE, CA 92530-2722
Phone number: 951-674-5354
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