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NPI Code Detail

MEDICARE: CYNTHIA JOHNSON LMFT

MEDICARE: CYNTHIA JOHNSON LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist91069CA

General Provider Information

NPI Number : 1356621510
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA JOHNSON LMFT
Provider Business Mailing Address
First Line : 600 W SANTA ANA BLVD STE 600
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-4552
Country : US
Telephone Number : 714-953-4455
Fax Number :
Provider Business Practice Location Address
First Line : 600 W SANTA ANA BLVD STE 600
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-4552
Country : US
Telephone Number : 714-953-4455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2011
Last Update Date : 10/11/2023

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Directions to “ CYNTHIA JOHNSON LMFT” Practice Location

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