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Mr. Johnny Edward Dewes
Student in an Organized Health Care Education/Training Program in El Cerrito, California
NPI 1255967998

Johnny Edward Dewes is a Student in an Organized Health Care Education/Training Program based in Martinez, CA. Johnny Edward Dewes practices in El Cerrito, CA. The NPI Number for Johnny Edward Dewes is 1255967998 and holds a License No. (California).

The current practice location address for Johnny Edward Dewes is 11175 San Pablo Ave, El Cerrito, CA and can be reached out via phone at 510-559-5550.

Location: 11175 San Pablo Ave, El Cerrito, CA, 94553-3747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255967998
Provider Name
Johnny Edward Dewes
Credential
Provider Entity Type
Individual
Gender
Male
Address
11175 San Pablo Ave, El Cerrito, CA, 94553-3747
Phone Number
510-559-5550
Fax Number
Provider Enumeration Date
03/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11175 San Pablo Ave
City
El Cerrito
State
California
Zip
94530-2157
Phone Number
510-559-5550
Fax Number
person
Provider Business Mailing Address Details
Address
11175 San Pablo Ave
City
El Cerrito
State
California
Zip
94530-2157
Phone Number
510-559-5550
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...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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