CLINT JOHNSON

COSTA MESA, CA
NPI1740664614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  I8149079)
Enumeration Date2015-07-10
Last Update Date2015-07-10
Business Address
-- CLINT JOHNSON
3151 AIRWAY AVE D-1
COSTA MESA, CA 92626-4607
Phone number: 714-957-8229
Mailing Address
-- CLINT JOHNSON
3151 AIRWAY AVE D-1
COSTA MESA, CA 92626-4607
Phone number: 714-957-8229
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