Provider Demographics
NPI:1427342369
Name:JOHNSON, JANET (LMFT)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7652 SAN VICENTE ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-4733
Mailing Address - Country:US
Mailing Address - Phone:619-787-7027
Mailing Address - Fax:619-358-9830
Practice Address - Street 1:6244 EL CAJON BLVD STE 3
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-3918
Practice Address - Country:US
Practice Address - Phone:619-787-7027
Practice Address - Fax:619-358-9830
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC49995106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist