Individual
JOSHUA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4046 LIVERPOOL ST, WEST SACRAMENTO, CA 95691-6467
(925) 497-4794
Mailing address
4046 LIVERPOOL ST, WEST SACRAMENTO, CA 95691-6467
(925) 497-4794
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT41688
CA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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