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Stephanie Monique Johnson
Counselor in San Rafael, California
NPI 1063882827

Stephanie Monique Johnson is a Counselor based in San Rafael, CA. Stephanie Monique Johnson practices in San Rafael, CA. The NPI Number for Stephanie Monique Johnson is 1063882827 and holds a License No. (California).

The current practice location address for Stephanie Monique Johnson is 3230 Kerner Blvd, San Rafael, CA and can be reached out via phone at 414-473-4101.

Location: 3230 Kerner Blvd, San Rafael, CA, 94901-4840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063882827
Provider Name
Stephanie Monique Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3230 Kerner Blvd, San Rafael, CA, 94901-4840
Phone Number
414-473-4101
Fax Number
Provider Enumeration Date
10/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3230 Kerner Blvd
City
San Rafael
State
California
Zip
94901-4840
Phone Number
414-473-4101
Fax Number
person
Provider Business Mailing Address Details
Address
3230 Kerner Blvd
City
San Rafael
State
California
Zip
94901-4840
Phone Number
414-473-4101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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