Individual
AMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 BRENTWOOD DR, GRASS VALLEY, CA 95945-5703
(530) 271-1140
Mailing address
PO BOX 6021, AUBURN, CA 95604-6021
(530) 878-5166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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