Individual
ARIEL LISETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 W SHAW AVE STE 102, FRESNO, CA 93711-3706
(559) 681-1947
Mailing address
1031 E NILES AVE, FRESNO, CA 93720-2266
(559) 475-1898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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