Laurie Lya Johnson
Social Worker, Clinical in Oakland, CA. Individual provider (NPI-1).
NPI number1063243269
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1063243269
- Entity type
- Individual (NPI-1)
- Name
- Laurie Lya Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2024
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 124915 | CA | Yes |
Practice location
390 40th StOakland, CA 94609-2633
Phone 510-613-0330
Mailing address
390 40th StOakland, CA 94609-2633
Phone 510-613-0330
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