Individual
BRIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1075 MADRONE AVE, COTATI, CA 94931-5130
(707) 792-4860
Mailing address
7165 BURTON AVE, ROHNERT PARK, CA 94928-3316
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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