Individual provider · Type 1 NPI

Paul Dwayne Johnson

Mental Health Counselor · San Rafael, CA

NPI number 1174669238 Active

Practice location

914 Mission Ave
San Rafael, CA 94901-6106

Mailing address

248 Laurel Pl
San Rafael, CA 94901-2011

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174669238

Paul Dwayne Johnson's National Provider Identifier is 1174669238, issued on Jan 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.