Johnson, Charda Lynn
Johnson, Charda Lynn is an sole proprietor health care provider with primary practice located at 3435 W Shaw Ave Ste 101 , Fresno CA 93711-3234. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Charda Lynn can be contacted via phone (559) 326-8283.Contact Information
Primary practice address
3435 W Shaw Ave Ste 101
Fresno CA 93711-3234
Phone: (559) 326-8283
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1245598234 |
|---|---|
| LBN Legal business name | Johnson, Charda Lynn |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2012 |
| Last updated | Apr 26th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245598234 | NPPES |
| California | MEDICAID | 10AQ |
Popular Providers
-
Moua, Cindy
1235 E St , Fresno CA 93706-2024 -
Roberts, Michelle
4431 N Emerson Ave , Fresno CA 93705-1204 -
Cowings, Phillip
3152 N Millbrook Ave , Fresno CA 93703-1400 -
Boyd, Alresia Lanette
4705 N Sonora Ave Ste 113 , Fresno CA 93722-3965 -
Ramirez, Emilio J
2772 South Martin Luther King Jr Blvd , Fresno CA 93706 -
Gaebe, Jennifer Bergouhi
1204 W Shaw Ave # 102 , Fresno CA 93711-3706 -
Duque, Santos Robert
1925 E Dakota Ave , Fresno CA 93726-4821 -
Newton, Melvin
611 E Belmont Ave , Fresno CA 93701-1502