EDWARD JOHNSON

LOS ANGELES, CA
NPI1528288636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  190329AN)
Enumeration Date2007-04-30
Last Update Date2007-07-08
Business Address
EDWARD JOHNSON
5135 S WESTERN AVE
LOS ANGELES, CA 90062-2333
Phone number: 818-997-6876
Mailing Address
EDWARD JOHNSON
3809 W ADAMS BLVD
LOS ANGELES, CA 90018-1751
Phone number: