Jerry D Johnson
NPI #1730403635 in Mariposa, California
Provider Information
- NPI Number
- 1730403635
- Entity Type
- Individual
- Name
- Jerry D Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 22, 2010
- Last Updated
- Mar 22, 2010
Practice Location
- Address
- 5037 STROMING RD
- City
- Mariposa
- State
- California
- ZIP Code
- 95338-0099
- Phone
- (209) 966-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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