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Ms. Goretha Johnson
Addiction (Substance Use Disorder) Counselor in Richmond, California
NPI 1700273950

Goretha Johnson is an Addiction (Substance Use Disorder) Counselor based in Richmond, CA and is specialized in Addiction (Substance Use Disorder). Goretha Johnson practices in Richmond, CA. The NPI Number for Goretha Johnson is 1700273950 and holds a License No. (California).

The current practice location address for Goretha Johnson is 12960 San Pablo Ave, Richmond, CA and can be reached out via phone at 510-215-2280 and via fax at 510-215-2283.

Location: 12960 San Pablo Ave, Richmond, CA, 94806-1753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700273950
Provider Name
Goretha Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
12960 San Pablo Ave, Richmond, CA, 94806-1753
Phone Number
510-215-2280
Fax Number
510-215-2283
Provider Enumeration Date
04/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12960 San Pablo Ave
City
Richmond
State
California
Zip
94805-1307
Phone Number
510-215-2280
Fax Number
510-215-2283
person
Provider Business Mailing Address Details
Address
12960 San Pablo Ave
City
Richmond
State
California
Zip
94805-1307
Phone Number
510-215-2280
Fax Number
510-215-2283
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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