MEDICARE: VIVIAN D. BROWN JOHNSON M.A., LMFT# 151679

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
1	106H00000X	Marriage & Family Therapist	151679	CA

General Provider Information

NPI Number	:	1699633297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN D. BROWN JOHNSON M.A., LMFT# 151679

Provider Business Mailing Address
First Line	:	PO BOX 9065
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-9065
Country	:	US
Telephone Number	:	510-501-0048
Fax Number	:

Provider Business Practice Location Address
First Line	:	767 BEECHWOOD AVE
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-6670
Country	:	US
Telephone Number	:	510-501-0048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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