Christine K Johnson
Case Manager/Care Coordinator in San Diego, CA. Individual provider (NPI-1).
NPI number1164083853
StatusActive
Last updated in NPPESNov 12, 2021
Details
- NPI
- 1164083853
- Entity type
- Individual (NPI-1)
- Name
- Christine K Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2019
- Certification date
- Oct 21, 2021
- Last updated
- Nov 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
3491 Kurtz StSuite 150
San Diego, CA 92110-1650
Phone 619-320-2404
Mailing address
3491 Kurtz StreerSandiego, CA 92110
Phone 619-320-2402
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