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Contact Information

SHAMELLA JOHNSON
390 NORTH LOOP RD
FORT IRWIN, CA92310
 Phone: 760-383-5463
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SHAMELLA JOHNSON · (Female)

NPI # 1043776289
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2019
Last updated 06/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0904010891
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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