Charles Weddell Johnson
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1447921028
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1447921028
- Entity type
- Individual (NPI-1)
- Name
- Charles Weddell Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2021
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
2307 W 6th StLos Angeles, CA 90057-3119
Phone 818-249-1963
Mailing address
2307 W 6th StLos Angeles, CA 90057-3119
Phone 818-249-1963
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