Individual
RACHAEL JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS CREDENTIAL
Contact information
Practice address
501 NORCROSS LN, OAKLEY, CA 94561-2189
(925) 625-7050
Mailing address
1098 VILLAGE OAKS DR, MARTINEZ, CA 94553-4150
(619) 787-2583
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
200120163
CA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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