Individual
EMMA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3508 DALE RD STE B, MODESTO, CA 95356-0504
(209) 799-7168
Mailing address
2505 KONYNENBURG LN, MODESTO, CA 95356-0457
(209) 345-1810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17011
CA
Other
Enumeration date
03/15/2022
Last updated
01/11/2025
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