person
Dominique Jasmine Johnson
Addiction (Substance Use Disorder) Counselor in San Jacinto, California
NPI 1598321085

Dominique Jasmine Johnson is an Addiction (Substance Use Disorder) Counselor based in San Jacinto, CA and is specialized in Addiction (Substance Use Disorder). Dominique Jasmine Johnson practices in San Jacinto, CA. The NPI Number for Dominique Jasmine Johnson is 1598321085 and holds a License No. (California).

The current practice location address for Dominique Jasmine Johnson is 1370 S State St Ste A, San Jacinto, CA and can be reached out via phone at 951-791-3350 and via fax at 951-791-3353.

Location: 1370 S State St Ste A, San Jacinto, CA, 92583-4922
person
Provider Profile Details
NPI Number
1598321085
Provider Name
Dominique Jasmine Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1370 S State St Ste A, San Jacinto, CA, 92583-4922
Phone Number
951-791-3350
Fax Number
951-791-3353
Provider Enumeration Date
05/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
249729 05 CA
institution
Provider Business Practice Location Address Details
Address
1370 S State St Ste A
City
State
Zip
92583-4922
Phone Number
951-791-3350
Fax Number
951-791-3353
person
Provider Business Mailing Address Details
Address
1370 S State St Ste A
City
State
Zip
92583-4922
Phone Number
951-791-3350
Fax Number
951-791-3353
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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