Kenneth D Johnson

NPI # 

Practice Address:

13300 E Highway 20

Clearlake Oaks, CA, 95423-9436

Practice Phone:

707-998-0310

License Number:

MPSS-YDOIKM

License State:

CA

Taxonomy Grouping:

Other Service Providers

Taxonomy Classification:

Peer Specialist

Taxonomy Code:

175T00000X

Updated by NPPES on 4/17/2025. You can view the original data set for NPI # 1922894880 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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