OCTAVIA JOHNSON

Counselor - Mental Health

Active Individual
NPI: 1104185529

Practice Address

790 VIA LATA STE 300
Colton, CA 92324

Phone: (909) 433-0445

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1104185529 is the National Provider Identifier for OCTAVIA JOHNSON, a Counselor - Mental Health provider located in Colton, CA. This NPI was enumerated on May 4, 2012.
OCTAVIA JOHNSON practices at 790 VIA LATA STE 300, Colton, CA 92324.

Quick Facts

NPI
1104185529
Type
Individual
Enumerated
May 4, 2012
Last Updated
May 4, 2012

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