Individual
CARLA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADTS2
Contact information
Practice address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(805) 981-9200
Mailing address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(805) 981-9200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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