Joshua Johnson
Licensed Psychiatric Technician in West Sacramento, CA. Individual provider (NPI-1).
NPI number1194445346
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1194445346
- Entity type
- Individual (NPI-1)
- Name
- Joshua Johnson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2022
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | PT41688 | CA | Yes |
Practice location
4046 Liverpool StWest Sacramento, CA 95691-6467
Phone 925-497-4794
Mailing address
4046 Liverpool StWest Sacramento, CA 95691-6467
Phone 925-497-4794
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