Individual
MR. GARRETT IAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1225 M ST, FRESNO, CA 93721-1805
(559) 600-9306
Mailing address
663 E SAMPLE AVE, FRESNO, CA 93710-5428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13064
CA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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