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Dazzamine Copeland Johnson
Mental Health Counselor in San Jose, California
NPI 1841674298

Dazzamine Copeland Johnson is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Dazzamine Copeland Johnson practices in San Jose, CA. The NPI Number for Dazzamine Copeland Johnson is 1841674298 and holds a License No. (California).

The current practice location address for Dazzamine Copeland Johnson is 1340 Foxdale Loop, San Jose, CA and can be reached out via phone at 408-449-1704.

Location: 1340 Foxdale Loop, San Jose, CA, 95122-1021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841674298
Provider Name
Dazzamine Copeland Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1340 Foxdale Loop, San Jose, CA, 95122-1021
Phone Number
408-449-1704
Fax Number
Provider Enumeration Date
07/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1340 Foxdale Loop
City
San Jose
State
California
Zip
95122-1021
Phone Number
408-449-1704
Fax Number
person
Provider Business Mailing Address Details
Address
1340 Foxdale Loop
City
San Jose
State
California
Zip
95122-1021
Phone Number
408-449-1704
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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