Individual provider · Type 1 NPI

Octavia S. Johnson

Mental Health Counselor · Colton, CA

NPI number 1104185529 Active

Practice location

790 Via Lata Ste 300
Colton, CA 92324-3978

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104185529

Octavia S. Johnson's National Provider Identifier is 1104185529, issued on May 4, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colton, CA. The record was last updated on May 4, 2012.