SearchCalifornia104100000X

Tracie Johnson

NPI 1053092262 · on the registry since 2023

Practice

Address
3333 14th St
Riverside, CA 92501
Phone
(951) 788-8812
Organisation at this address
Creative Solutions For Kids & Families
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California