Individual
MS. BRENDA LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 CENTER ST, BERKELEY, CA 94704-1105
(510) 666-9552
Mailing address
1931 CENTER ST, BERKELEY, CA 94704-1105
(510) 666-9552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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