| NPI | 1689150864 |
|---|---|
| Other Name | SHANELLE D. JOHNSON |
| Entity Type | Organization |
| Authorized Contact | SHANELLE D. JOHNSON Co Owner 619-343-9543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 105060) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |