Diane Mae Johnson, SUD

NPI #1184241101 in Crescent City, California

Provider Information

NPI Number: 1184241101
Entity Type: Individual
Name: Diane Mae Johnson, SUD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Credential: SUD
Enumeration Date: Jun 26, 2020
Last Updated: Jul 18, 2025

Practice Location

Address: 455 K ST
City: Crescent City
State: California
ZIP Code: 95531-4107
Phone: (707) 464-7224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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