Amanda Johnson

NPI #1043362114 in Antioch, California

Provider Information

NPI Number: 1043362114
Entity Type: Individual
Name: Amanda Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1500 D ST RM 601
City: Antioch
State: California
ZIP Code: 94509-2346
Phone: (925) 777-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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