ODELL JOHNSON

SAN JOSE, CA
NPI1609254416
Professional NameODELL JOHNSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
Mr. ODELL JOHNSON
1150 N. 4TH ST
SAN JOSE, CA 95112
Phone number: 650-995-6589
Mailing Address
Mr. ODELL JOHNSON
75 PERRY ST APT 111
REDWOOD CITY, CA 94063-1542
Phone number: 650-995-6589
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