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1962867770
JUSTIN REID JOHNSON
PASADENA, CA
NPI
1962867770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-21
Last Update Date
2015-12-21
Business Address
-- JUSTIN REID JOHNSON
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
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Mailing Address
-- JUSTIN REID JOHNSON
455 N ALEXANDER ST
SAN FERNANDO, CA 91340-2307
Phone number: 626-641-2336
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