Johnson, Stephanie Monique

Johnson, Stephanie Monique is an individual health care provider with primary practice located at 3230 Kerner Blvd , San Rafael CA 94901-4840. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Johnson, Stephanie Monique can be contacted via phone (414) 473-4101.

Contact Information

Primary practice address
3230 Kerner Blvd San Rafael CA 94901-4840
Phone: (414) 473-4101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1063882827
LBN Legal business name Johnson, Stephanie Monique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2015
Last updated Jul 26th, 2023 - about 3 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.

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