Individual
CARLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 MENLO AVE, LOS ANGELES, CA 90006-4613
(323) 734-3284
Mailing address
5233 E BEVERLY BLVD, LOS ANGELES, CA 90022-2020
(323) 724-6911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C27421214
CA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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