Individual
JONNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2915
(714) 687-0077
(714) 687-0691
Mailing address
321 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2915
(714) 687-0077
(714) 687-0691
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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