Individual
CHRISTA ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Mailing address
15853 HILL ST, LA PUENTE, CA 91744-4021
(562) 458-3190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7001
CA
101YP2500X
Professional Counselor
Primary
7001
CA
Other
Enumeration date
10/28/2019
Last updated
06/11/2024
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