Individual
CAMILLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
823 MURRAY AVE, SAN LUIS OBISPO, CA 93405
(805) 704-4747
Mailing address
1411 MARSH ST STE 206, SAN LUIS OBISPO, CA 93401-2991
(805) 242-3691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
03/08/2020
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