Dominique Jasmine Johnson
NPI #1598321085 in San Jacinto, California
Provider Information
- NPI Number
- 1598321085
- Entity Type
- Individual
- Name
- Dominique Jasmine Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 10, 2019
- Last Updated
- May 10, 2019
Practice Location
- Address
- 1370 S STATE ST STE A
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-4922
- Phone
- (951) 791-3350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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