Individual provider · Type 1 NPI

Scott David Johnson

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1083379903 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2639

Call (909) 421-7120 Map

Mailing address

3050 Dundee Ave
Highland, CA 92346-1803

Other practice locations

  • 939 N D St, San Bernardino, CA 92410-3519 · (909) 889-6519

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI49801225 (CA)

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

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About NPI 1083379903

Scott David Johnson's National Provider Identifier is 1083379903, issued on Nov 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Mar 17, 2026.