Individual provider · Type 1 NPI

Heather Johnson

Mental Health Counselor · Kentfield, CA

NPI number 1912677162 Active

Practice location

250 Bon Air Rd
Kentfield, CA 94904-1702

Mailing address

491 Benton St
Santa Rosa, CA 95401-4836

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XASW109937 (CA)

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About NPI 1912677162

Heather Johnson's National Provider Identifier is 1912677162, issued on Sep 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kentfield, CA. The record was last updated on Oct 26, 2022.