Individual
EMILY DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3671 BUSINESS DR STE 110, SACRAMENTO, CA 95820-2233
(501) 658-9672
Mailing address
3574 NOUVEAU WAY, RANCHO CORDOVA, CA 95670-6990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34698
CA
Other
Enumeration date
06/23/2021
Last updated
11/20/2023
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