person
Kimberly Robin Johnson
Mental Health Counselor in Santa Cruz, California
NPI 1801103312

Kimberly Robin Johnson is a Mental Health Counselor based in Scotts Valley, CA and is specialized in Mental Health. Kimberly Robin Johnson practices in Santa Cruz, CA. The NPI Number for Kimberly Robin Johnson is 1801103312 and holds a License No. (California).

The current practice location address for Kimberly Robin Johnson is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170 and via fax at 831-454-4663.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95066-4933
person
Provider Profile Details
NPI Number
1801103312
Provider Name
Kimberly Robin Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 Emeline Ave, Santa Cruz, CA, 95066-4933
Phone Number
831-454-4170
Fax Number
831-454-4663
Provider Enumeration Date
09/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ92069Z 01 CA SANTA CRUZ COUNTY MENTAL HEALTH MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(California)
Definition
Definition to come...
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