Tony L. Johnson MFT

NPI 1265670103 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1265670103
Gender Male
Enumeration Date 01/30/2009
Last Updated 01/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
720 SOUTHPOINT BLVD
SUITE 202
PETALUMA CA, 94954-7495, US
Phone (707) 763-4915
Fax
Business Location
720 SOUTHPOINT BLVD
SUITE 202
PETALUMA CA, 94954-7495, US
Phone (707) 763-4915
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC16373
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According to our database, Mr. Tony L. Johnson MFT NPI is 1265670103, taxonomy code is 106H00000X and license number is MFC16373, license state is located at California. Tony L. Johnson MFT physically located at 720 Southpoint Blvd, Petaluma CA, 94954-7495. NPI Number Tony L. Johnson MFT has the Individual type.

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1265670103 NPI number is provided on an as is basis without warranty of any kind. 1265670103 is maintained by the National Plan & Provider Enumeration System. The contents of Tony L. Johnson MFT are for informational purposes only.