Individual
PROF. DEBORAH SUSAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, PMHNP-BC
Contact information
Practice address
5000 MACARTHUR BLVD, COUNSELING AND PSYCHOLOGICAL SERVICES, OAKLAND, CA 94613-1301
(916) 947-1740
(916) 784-6480
Mailing address
2 KORET WAY STE 505B, RM 511B, SAN FRANCISCO, CA 94143-0608
(415) 476-4172
(415) 476-6042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN358455
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20650
CA
Other
Enumeration date
07/21/2010
Last updated
02/22/2017
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