Individual provider · Type 1 NPI

Jack Lee Johnson Ii

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1093284382 Active

Practice location

1680 North Fair Oaks
Pasadena, CA 91104

Call (210) 241-0481 Map

Mailing address

1680 N Fair Oaks Ave
Pasadena, CA 91103-1642

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1093284382

Jack Lee Johnson Ii's National Provider Identifier is 1093284382, issued on Nov 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Nov 16, 2018.