Individual
DEZARAE LEANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW, PPS
Contact information
Practice address
64 E WELDON AVE, FRESNO, CA 93704-5956
(559) 442-1947
Mailing address
2437 SANTA ANA AVE, CLOVIS, CA 93611-6533
(916) 752-5890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
88176
CA
104100000X
Social Worker
Primary
130019
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
130019
CA
Other
Enumeration date
04/13/2009
Last updated
06/03/2025
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