Most Relevant Information
Provider Data
| NPI Number: | 1003076100 |
| Provider Name: | VARINEA LISETT JOHNSON M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2008 |
| Last Updated: | 01/18/2018 |
Provider Practice Location
233 BASELINE RD
LA VERNE
CA
917502353
Practice Location Phone/Fax
| Phone: | 9098332986 |
| Fax: | 9098332986 |
Provider Mailing Location
326 E ORLANDO WAY
APT C
COVINA
CA
917233038
Provider Mailing Phone/Fax
| Phone: | 6265362235 |
| Fax: |