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Heather Johnson
Mental Health Counselor in Kentfield, California
NPI 1912677162

Heather Johnson is a Mental Health Counselor based in Santa Rosa, CA and is specialized in Mental Health. Heather Johnson practices in Kentfield, CA. The NPI Number for Heather Johnson is 1912677162 and holds a License No. (California).

The current practice location address for Heather Johnson is 250 Bon Air Rd, Kentfield, CA and can be reached out via phone at 510-867-0797.

Location: 250 Bon Air Rd, Kentfield, CA, 95401-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912677162
Provider Name
Heather Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
250 Bon Air Rd, Kentfield, CA, 95401-4836
Phone Number
510-867-0797
Fax Number
Provider Enumeration Date
09/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
250 Bon Air Rd
City
Kentfield
State
California
Zip
94904-1702
Phone Number
510-867-0797
Fax Number
person
Provider Business Mailing Address Details
Address
250 Bon Air Rd
City
Kentfield
State
California
Zip
94904-1702
Phone Number
510-867-0797
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW109937 (California)
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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