JERRY D JOHNSON

MARIPOSA, CA
NPI1730403635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-03-22
Last Update Date2010-03-22
Business Address
-- JERRY D JOHNSON
5037 STROMING RD
MARIPOSA, CA 95338-0099
Phone number: 209-966-2000
Mailing Address
-- JERRY D JOHNSON
P O BOX 99
MARIPOSA, CA 95338-0099
Phone number: 209-966-2000
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