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Paul Dwayne Johnson
Mental Health Counselor in San Rafael, California
NPI 1174669238

Paul Dwayne Johnson is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Paul Dwayne Johnson practices in San Rafael, CA. The NPI Number for Paul Dwayne Johnson is 1174669238 and holds a License No. (California).

The current practice location address for Paul Dwayne Johnson is 914 Mission Ave, San Rafael, CA and can be reached out via phone at 415-457-6964.

Location: 914 Mission Ave, San Rafael, CA, 94901-2011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174669238
Provider Name
Paul Dwayne Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
914 Mission Ave, San Rafael, CA, 94901-2011
Phone Number
415-457-6964
Fax Number
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
914 Mission Ave
City
San Rafael
State
California
Zip
94901-6106
Phone Number
415-457-6964
Fax Number
person
Provider Business Mailing Address Details
Address
914 Mission Ave
City
San Rafael
State
California
Zip
94901-6106
Phone Number
415-457-6964
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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