Individual
GLENN PHELPS JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 N COTTONWOOD ST, SUITE 1530, WOODLAND, CA 95695-6646
(530) 666-9546
Mailing address
137 N COTTONWOOD ST STE 1530, WOODLAND, CA 95695-6664
(530) 666-9546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
06/11/2012
Last updated
05/08/2026
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