| Kim Michele Johnson, | |
| 
					536 Mark Ave, Vallejo, CA 94589-2029  | |
| (707) 704-3005 | |
| Not Available | 
| Full Name | Kim Michele Johnson | 
|---|---|
| Gender | Female | 
| Speciality | Counselor | 
| Location | 536 Mark Ave, Vallejo, California | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649733361 | NPI | - | NPPES | 
| 14942553 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kim Michele Johnson, 536 Mark Ave, Vallejo, CA 94589-2029 Ph: (707) 704-3005  | Kim Michele Johnson, 536 Mark Ave, Vallejo, CA 94589-2029 Ph: (707) 704-3005  | 
Leata Jeames,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Tuolumne St, Vallejo, CA 94589 Phone: 707-558-1777 Fax: 707-558-1770  | |
Ned L Jacobs,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520  | |
Tiffany Marie Tyler,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 Tuolumne St, Vallejo, CA 94590 Phone: 707-648-8121 Fax: 707-648-8129  | |
Michelle Reneta Ortiz,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Ohio St, Vallejo, CA 94590 Phone: 415-707-2577 Fax: 707-644-5501  | |
Tanesha Nixon,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Grant St, Vallejo, CA 94590 Phone: 707-553-1042  | |
Debra Marrama, PROGRAM DIRECTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 3467 Edgewater Pl, Vallejo, CA 94591 Phone: 707-732-8105 Fax: 707-667-0010  | |
Mr. Bjay Jones,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Georgia Street, Vallejo, CA 94590 Phone: 510-229-2786  |