Individual provider · Type 1 NPI

Johnna Antoinette Standley

Mental Health Counselor · Walnut Creek, CA

NPI number 1104174671 Active

Practice location

1855 Olympic Blvd, Ste 225
Walnut Creek, CA 94596-5089

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104174671

Johnna Antoinette Standley's National Provider Identifier is 1104174671, issued on Aug 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Walnut Creek, CA. The record was last updated on Aug 15, 2012.