Charlesetta Johnson in Riverside - Mental Health

Charlesetta Johnson - NPI 1396955472

Charlesetta Johnson is a Mental Health in Riverside, California. Charlesetta Johnson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Charlesetta Johnson is 1396955472. The last update date is 2007-07-08.

Charlesetta Johnson's current location address is 769 W Blaine St Ste B, Riverside, California. You can contact this provider via phone number 9513587676 and fax number 9513584990. The mailing address for Charlesetta Johnson is 769 W Blaine St Ste B, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charlesetta Johnson
Address 769 W Blaine St Ste B, Riverside, California
Phone Number 9513587676
Fax Number 9513584990
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1396955472
Provider Enumeration Date 2007-05-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 769 W Blaine St Ste B
City Riverside
State California (CA)
Post Code 925073970
Phone Number 9513587676
Fax Number 9513584990

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Charlesetta Johnson

What is the unique 10-digit identification code assigned to Charlesetta Johnson by the Centers for Medicare & Medicaid Services?

The Charlesetta Johnson has been issued the NPI (National Provider Identifier) 1396955472, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Charlesetta Johnson is geographically located?

The Charlesetta Johnson is physically situated at the following location: 769 W Blaine St Ste B, Riverside, CA, 925073970.

What is the area of specialization for Charlesetta Johnson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charlesetta Johnson is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.

On what date did Charlesetta Johnson receive its 1396955472 assignment from the Centers for Medicare & Medicaid Services?

The Charlesetta Johnson was assigned its 1396955472 on 2007-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Charlesetta Johnson most recently updated or revised?

The information pertaining to Charlesetta Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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