Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
518 GARDEN ST, SANTA BARBARA, CA 93101-1696
(805) 963-2445
(805) 965-6981
Mailing address
518 GARDEN ST, SANTA BARBARA, CA 93101-1696
(805) 963-2445
(805) 965-6981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1710296975
OR
363A00000X
Physician Assistant
Primary
PA55230
CA
Other
Enumeration date
09/22/2014
Last updated
10/28/2019
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