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1811745425
DANE JOHNSON
ROSEVILLE, CA
NPI
1811745425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
DANE JOHNSON
720 SUNRISE AVE STE D212720
ROSEVILLE, CA 95661-4516
Phone number: 916-772-6158
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Mailing Address
DANE JOHNSON
5350 BLUE OAK RANCH RD
AUBURN, CA 95602-7916
Phone number:
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