Individual
MS. HEATHER JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., MFT, PSYD
Contact information
Practice address
101 S KRAEMER BLVD, STE 114, PLACENTIA, CA 92870-6109
(714) 253-4104
Mailing address
17121 BLACK WALNUT CT, YORBA LINDA, CA 92886-6237
(714) 812-4991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY25944
CA
106H00000X
Marriage & Family Therapist
MFC29054
CA
Other
Enumeration date
03/15/2007
Last updated
11/05/2019
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