Most Relevant Information
Provider Data
| NPI Number: | 1003241894 |
| Provider Name: | LIA CHRISTINE JOHANSEN MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2013 |
| Last Updated: | 11/19/2015 |
Provider Practice Location
3480 BUSKIRK AVE
#210
PLEASANT HILL
CA
945234341
Practice Location Phone/Fax
| Phone: | 9259332627 |
| Fax: |
Provider Mailing Location
3480 BUSKIRK AVE
#210
PLEASANT HILL
CA
945234341
Provider Mailing Phone/Fax
| Phone: | 9259332627 |
| Fax: |