JERRY JOHNSON

PASADENA, CA
NPI1760857502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2015-12-04
Last Update Date2015-12-04
Business Address
JERRY JOHNSON
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
Mailing Address
JERRY JOHNSON
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
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