Johnson, Stephanie Monique
Johnson, Stephanie Monique is an individual health care provider with primary practice located at 3230 Kerner Blvd , San Rafael CA 94901-4840. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Johnson, Stephanie Monique can be contacted via phone (414) 473-4101.Contact Information
Primary practice address
3230 Kerner Blvd
San Rafael CA 94901-4840
Phone: (414) 473-4101
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | California | |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
NPI number | 1063882827 |
---|---|
LBN Legal business name | Johnson, Stephanie Monique |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2015 |
Last updated | Jul 26th, 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.
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