Individual
ANYSSIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 EDDINGTON ST, UPLAND, CA 91786-3440
(909) 931-1137
Mailing address
1214 EDDINGTON ST, UPLAND, CA 91786-3440
(909) 931-1137
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
116541
CA
106H00000X
Marriage & Family Therapist
Primary
135166
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/28/2020
Last updated
07/03/2023
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