Individual
DANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
8301 N 21ST DR UNIT F103, PHOENIX, AZ 85021-4989
(626) 240-8220
Mailing address
8301 N 21ST DR UNIT F103, PHOENIX, AZ 85021-4989
(162) 624-0822
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
123773
CA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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