Maxwell-Johnson, Allison Grace

Maxwell-Johnson, Allison Grace is an sole proprietor health care provider with primary practice located at 537 Cajon St , Redlands CA 92373-5903. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Maxwell-Johnson, Allison Grace can be contacted via phone (909) 809-0253.

Contact Information

Primary practice address
537 Cajon St Redlands CA 92373-5903
Phone: (909) 809-0253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 29027 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 29027 California

Profile Details

NPI number 1538408299
LBN Legal business name Maxwell-Johnson, Allison Grace
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2013
Last updated Jul 10th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538408299 NPPES
California MEDICAID 1529701929

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