Kenneth D Johnson
NPI #1922894880 in Clearlake Oaks, California
Provider Information
- NPI Number
- 1922894880
- Entity Type
- Individual
- Name
- Kenneth D Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Apr 17, 2025
- Last Updated
- Apr 17, 2025
Practice Location
- Address
- 13300 E HIGHWAY 20
- City
- Clearlake Oaks
- State
- California
- ZIP Code
- 95423-9436
- Phone
- (707) 998-0310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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