Individual
MR. JEROME NATHANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
3331 POWER INN RD # 140, SACRAMENTO, CA 95826-3889
(916) 875-1183
(916) 875-1190
Mailing address
9301 JUNIPER LAKE ALY, SACRAMENTO, CA 95829-8746
(909) 912-4631
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42083
CA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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