Individual
AUTUMN C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1202 MORENA BLVD, SAN DIEGO, CA 92110-3841
(619) 276-8112
Mailing address
1202 MORENA BLVD STE 300, SAN DIEGO, CA 92110-3844
(619) 275-0822
(619) 275-5069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW82372
CA
Other
Enumeration date
08/29/2014
Last updated
01/23/2019
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