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Individual

MR. CALVIN CREGG JOHNSON I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 206-5645
(414) 206-6875
Mailing address
1050 63RD ST, OAKLAND, CA 94608-1259
(415) 740-5590

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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