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Octavia S Johnson
Mental Health Counselor in Colton, California
NPI 1104185529

Octavia S Johnson is a Mental Health Counselor based in Colton, CA and is specialized in Mental Health. Octavia S Johnson practices in Colton, CA. The NPI Number for Octavia S Johnson is 1104185529 and holds a License No. (California).

The current practice location address for Octavia S Johnson is 790 Via Lata Ste 300, Colton, CA and can be reached out via phone at 909-433-0445.

Location: 790 Via Lata Ste 300, Colton, CA, 92324-3978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104185529
Provider Name
Octavia S Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
790 Via Lata Ste 300, Colton, CA, 92324-3978
Phone Number
909-433-0445
Fax Number
Provider Enumeration Date
05/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
790 Via Lata Ste 300
City
Colton
State
California
Zip
92324-3978
Phone Number
909-433-0445
Fax Number
person
Provider Business Mailing Address Details
Address
790 Via Lata Ste 300
City
Colton
State
California
Zip
92324-3978
Phone Number
909-433-0445
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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