Mary Johanson
NPI #1376168674 in San Jacinto, California
Provider Information
- NPI Number
- 1376168674
- Entity Type
- Individual
- Name
- Mary Johanson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jun 11, 2020
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- 1370 S STATE ST
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-4933
- Phone
- (951) 791-3596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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