Individual provider · Type 1 NPI

Reilly Johnson, CADC-I

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1073973582 Active

Practice location

151 W Mission St, 100
San Jose, CA 95110-1713

Fax (408) 280-7201

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI5201215 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073973582

Reilly Johnson, CADC-I's National Provider Identifier is 1073973582, issued on Feb 25, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Feb 25, 2016.