Individual
MRS. MARIE P. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH TECH 37685
Contact information
Practice address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-4400
Mailing address
3266 LARCHMONT DR, STOCKTON, CA 95209-5192
(209) 670-6578
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37685
CA
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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