Scott Charles Johnson, LAC RADT-1 Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Bermuda Dunes, CA

NPI

1033630033

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

1305 (ND)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-06-29

Last updated

2020-07-24