Individual provider · Type 1 NPI

Jerry D. Johnson

Addiction (Substance Use Disorder) Counselor · Mariposa, CA

NPI number 1730403635 Active

Practice location

5037 Stroming Rd
Mariposa, CA 95338-0099

Call (209) 966-2000 Map

Fax (209) 966-8251

Mailing address

P O Box 99
Mariposa, CA 95338-0099

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1730403635

Jerry D. Johnson's National Provider Identifier is 1730403635, issued on Mar 22, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mariposa, CA. The record was last updated on Mar 22, 2010.