Ivan R Johnson COUNSELOR CAADAC

NPI 1124226808 - Counselor - 101YA0400X

NPI Details
NPI 1124226808
Gender Male
Enumeration Date 07/05/2007
Last Updated 08/26/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1007 MYRTLE AVE
INGLEWOOD CA, 90301-4009, US
Phone (310) 412-4191
Fax (310) 412-3942
Business Location
4760 SEPULVEDA BLVD
CULVER CITY CA, 90230-4820, US
Phone (310) 390-6612
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Ivan R Johnson COUNSELOR CAADAC NPI is 1124226808, taxonomy code is 101YA0400X Ivan R Johnson COUNSELOR CAADAC physically located at 1007 Myrtle Ave, Inglewood CA, 90301-4009. NPI Number Ivan R Johnson COUNSELOR CAADAC has the Individual type.

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1124226808 NPI number is provided on an as is basis without warranty of any kind. 1124226808 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan R Johnson COUNSELOR CAADAC are for informational purposes only.