SHANTEL RAYANNE JOHNSON

GRANTS PASS, OR
NPI1992368971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-04-16
Last Update Date2019-04-16
Business Address
SHANTEL RAYANNE JOHNSON
1181 SW RAMSEY AVE
GRANTS PASS, OR 97527-5835
Phone number: 541-476-2373
Mailing Address
SHANTEL RAYANNE JOHNSON
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373