Kimi Johnson

Counselor · Bear Valley, CA

Individual Active NPI

NPI number 1538530050

Practice location

325 Creekside Drive
Bear Valley, CA 95223-5186
Phone
(209) 753-2348

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NPI record

NPI
1538530050
Entity type
Individual (Type 1)
Enumeration date
October 9, 2015
Last updated
October 9, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

PO Box 5186
Bear Valley, CA 95223-5186

About Kimi Johnson

Kimi Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 325 Creekside Drive, Bear Valley, CA 95223-5186. The NPI number 1538530050 was assigned on October 9, 2015 and the record was last updated on October 9, 2015.

Frequently asked questions

What is the NPI number of Kimi Johnson?

The NPI number is 1538530050.

What is the phone number of Kimi Johnson?

The phone number listed for the practice location is (209) 753-2348.

Where is Kimi Johnson located?

325 Creekside Drive, Bear Valley, CA 95223-5186.

What is the taxonomy code for Kimi Johnson?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.