Individual
MS. ALLISON GRACE MAXWELL-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
537 CAJON ST, REDLANDS, CA 92373-5903
(909) 809-0253
Mailing address
323 BOND ST, REDLANDS, CA 92373-5038
(909) 677-7215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
29027
CA
1041C0700X
Clinical Social Worker
Primary
29027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529701929
—
CA
Enumeration date
01/31/2013
Last updated
07/10/2020
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