Amanda Johnson

NPI #1023556255 in Redwood City, California

Provider Information

NPI Number: 1023556255
Entity Type: Individual
Name: Amanda Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Feb 8, 2017
Last Updated: Feb 8, 2017

Practice Location

Address: 1442 VALOTA RD
City: Redwood City
State: California
ZIP Code: 94061-2620
Phone: (650) 863-7825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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