| Doctor Name: | JOANNA LYNN EASLEY |
| NPI Number: | 1306031489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | E07002271023 |
| Business Practice Address: | 16949 Highway 14 Ste H Mojave, CA - 93501 |
| Business Phone Number: | 6618244938 |
| Business Fax Number: | |
| Mailing Address: | 45413 Date Ave, LANCASTER |
| State: | CA |
| Postal Code: | 935341822 |
| Phone Number: | 6619405815 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 09/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | E07002271023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |