STEPHANIE CHARISSE JOHNSON

CAMARILLO, CA
NPI1710448477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-03-26
Last Update Date2019-03-26
Business Address
STEPHANIE CHARISSE JOHNSON
802 ESTON ST
CAMARILLO, CA 93010-4810
Phone number: 805-904-8860
Mailing Address
STEPHANIE CHARISSE JOHNSON
802 ESTON ST
CAMARILLO, CA 93010-4810
Phone number: 805-904-8860