Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Monique Johnson

Individual provider Peer Specialist · NPI 1063882827

Stephanie Monique Johnson is a Peer Specialist in San Rafael, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

3230 Kerner Blvd
San Rafael, CA 94901-4840
Phone: (414) 473-4101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Peer Specialist Taxonomy 175T00000X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063882827
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2015
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing address3230 Kerner Blvd, San Rafael, CA 94901-4840

Other providers in San Rafael