Individual
MR. BRYAN K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16940 HIGHWAY 14 STE F, MOJAVE, CA 93501-1238
(661) 824-5020
Mailing address
16940 HIGHWAY 14 STE F, MOJAVE, CA 93501-1238
(323) 608-0307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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