Kimi Johnson
NPI #1538530050 in Bear Valley, California
Provider Information
- NPI Number
- 1538530050
- Entity Type
- Individual
- Name
- Kimi Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Oct 9, 2015
- Last Updated
- Oct 9, 2015
Practice Location
- Address
- 325 CREEKSIDE DRIVE
- City
- Bear Valley
- State
- California
- ZIP Code
- 95223-5186
- Phone
- (209) 753-2348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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