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1841786159
SELENE JOHNSON
SANTA CLARA, CA
NPI
1841786159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1242570217)
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
SELENE JOHNSON
1659 SCOTT BLVD STE 30
SANTA CLARA, CA 95050-4186
Phone number: 408-373-1833
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Mailing Address
SELENE JOHNSON
1659 SCOTT BLVD STE 30
SANTA CLARA, CA 95050-4186
Phone number: 408-244-1834
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