Individual
GEORGIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH WORKER
Contact information
Practice address
300 E 15TH ST STE B, MERCED, CA 95341-6217
(209) 394-4032
(209) 394-4166
Mailing address
300 E 15TH ST STE B, MERCED, CA 95341-6217
(209) 381-6879
(209) 725-3775
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
10/17/2014
Last updated
06/11/2025
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