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1831610849
JEANINE MARY JOHNSON
LOS ANGELES, CA
NPI
1831610849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1255110617)
Enumeration Date
2017-06-29
Last Update Date
2017-06-29
Business Address
JEANINE MARY JOHNSON
1701 ZONAL AVE
LOS ANGELES, CA 90033-1065
Phone number: 323-223-6298
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Mailing Address
JEANINE MARY JOHNSON
1701 ZONAL AVE
LOS ANGELES, CA 90033-1065
Phone number: 760-812-3080
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