DELOIS PENELOPE JOHNSON

SANTA MONICA, CA
NPI1790977981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   101YM0800X)
Enumeration Date2007-08-13
Last Update Date2007-08-13
Business Address
Ms. DELOIS PENELOPE JOHNSON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
Mailing Address
Ms. DELOIS PENELOPE JOHNSON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889