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1629648423
BRANDON MICHAEL JOHNSON
REDDING, CA
NPI
1629648423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
Mr. BRANDON MICHAEL JOHNSON
3648 EL PORTAL DR
REDDING, CA 96002-3133
Phone number: 530-722-1114
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Mailing Address
Mr. BRANDON MICHAEL JOHNSON
1109 WOODSIDE MEADOWS DR
REDDING, CA 96002-0349
Phone number: 530-921-7756
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