DONALD WAYNE JOHNSON

EUREKA, CA
NPI1548528334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  J0505161459)
Enumeration Date2012-04-30
Last Update Date2012-04-30
Business Address
DONALD WAYNE JOHNSON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Mailing Address
DONALD WAYNE JOHNSON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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