LOGAN JAMES JOHNSON

FRESNO, CA
NPI1609582857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  14667)
Enumeration Date2023-01-30
Last Update Date2023-01-30
Business Address
LOGAN JAMES JOHNSON
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
Mailing Address
LOGAN JAMES JOHNSON
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096