Johnson, Dianna Marie
Johnson, Dianna Marie is an individual health care provider with primary practice located at 7885 Annandale Ave , Desert Hot Springs CA 92240-1419. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Johnson, Dianna Marie can be contacted via phone (760) 329-2924.Contact Information
Primary practice address
7885 Annandale Ave
Desert Hot Springs CA 92240-1419
Phone: (760) 329-2924
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6623 | California |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APCC5303 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | AMFT107693 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 123779 | California |
Profile Details
| NPI number | 1477740363 |
|---|---|
| LBN Legal business name | Johnson, Dianna Marie |
| Credentials | SBHS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2007 |
| Last updated | May 2nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477740363 | NPPES |
| California | Other | 1014M08 | TAXOMONY |
| California | MEDICAID | 33854 | TAXOMONY |
| California | Other | 1477740363 | TAXOMONY |
| California | Other | 1649333030 | TAXOMONY |
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