Individual provider · Type 1 NPI

Charlesetta Johnson

Mental Health Counselor · Riverside, CA

NPI number 1396955472 Active

Practice location

769 W Blaine St Ste B
Riverside, CA 92507-3970

Fax (951) 358-4990

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396955472

Charlesetta Johnson's National Provider Identifier is 1396955472, issued on May 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.