Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 D ST RM 601, ANTIOCH, CA 94509-2346
(925) 777-9550
Mailing address
2202 MONTEVIDEO DR, PITTSBURG, CA 94565-4519
(831) 596-0187
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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