Individual
DR. COLLEEN ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15 MARAVILLA CT, CAMPBELL, CA 95008-1847
(408) 781-8434
Mailing address
1608 W CAMPBELL AVE # 248, CAMPBELL, CA 95008-1535
(498) 781-8434
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY26234
CA
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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