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Individual

AMY LYNNE MARKOFF JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, AMFT 128972

Contact information

Practice address
340 SOQUEL AVE STE 107, SANTA CRUZ, CA 95062-2328
(408) 857-8500
Mailing address
125 CONNEMARA WAY APT 78, SUNNYVALE, CA 94087-3290
(408) 857-8500

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
128972
CA

Other

Enumeration date
12/02/2021
Last updated
12/02/2021
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