Whalio Doctors

NPI 1003940537

Leland S Johnson, MFT

Practitioner Marriage & Family Therapist Berkeley, CA

Practice location

Address
2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238
Phone
(510) 981-5290
Fax
(510) 981-5265

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT34724 (CA)

Registry record

NPI
1003940537
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Mar 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.