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NPI Code Detail

MEDICARE: CAMILLE JOHNSON LMFT

MEDICARE: CAMILLE 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 Therapist

General Provider Information

NPI Number : 1497951933
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE JOHNSON LMFT
Provider Business Mailing Address
First Line : 441 MARSH ST
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6106
Country : US
Telephone Number : 805-242-3691
Fax Number :
Provider Business Practice Location Address
First Line : 441 MARSH ST
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6106
Country : US
Telephone Number : 805-242-3691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 05/18/2026

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Directions to “ CAMILLE JOHNSON LMFT” Practice Location

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