Paul Dwayne Johnson in San Rafael - Mental Health
Paul Dwayne Johnson - NPI 1174669238
Paul Dwayne Johnson is a Mental Health in San Rafael, California. Paul Dwayne Johnson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Paul Dwayne Johnson is 1174669238. The last update date is 2007-07-08.
Paul Dwayne Johnson's current location address is 914 Mission Ave, San Rafael, California. You can contact this provider via phone number 4154576964. The mailing address for Paul Dwayne Johnson is 914 Mission Ave, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Dwayne Johnson |
|---|---|
| Address | 914 Mission Ave, San Rafael, California |
| Phone Number | 4154576964 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174669238 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 914 Mission Ave |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 9490161060 |
| Phone Number | 4154576964 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul Dwayne Johnson by the Centers for Medicare & Medicaid Services?
The Paul Dwayne Johnson has been issued the NPI (National Provider Identifier) 1174669238 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Paul Dwayne Johnson's facilities are situated?
The facilities of Paul Dwayne Johnson are physically located at the following address: 914 Mission Ave, San Rafael, CA, 9490161060.
What is Paul Dwayne Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Dwayne Johnson is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did Paul Dwayne Johnson receive its 1174669238 assignment from the Centers for Medicare & Medicaid Services?
The Paul Dwayne Johnson was assigned its 1174669238 on 2007-01-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Paul Dwayne Johnson most recently updated or refreshed?
The details pertaining to the Paul Dwayne Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.