WILLIE CLAY JOHNSON

INDIO, CA
NPI1548446362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  01-037311)
Enumeration Date2008-01-10
Last Update Date2008-01-10
Business Address
-- WILLIE CLAY JOHNSON CAS
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
Mailing Address
-- WILLIE CLAY JOHNSON CAS
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
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