Individual
ALYSA HARLESS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14011 LODGEPOLE CT, PENN VALLEY, CA 95946-9128
(906) 407-0047
(916) 405-4002
Mailing address
11354 PLEASANT VALLEY RD # 94, PENN VALLEY, CA 95946-9000
(906) 407-0047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
77484
CA
Other
Enumeration date
03/18/2016
Last updated
03/09/2022
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