CLARENCE ANTHONY JOHNSON

SAN DIEGO, CA
NPI1700599867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2023-01-03
Last Update Date2023-04-27
Business Address
CLARENCE ANTHONY JOHNSON
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
Mailing Address
CLARENCE ANTHONY JOHNSON
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
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