Individual provider · Type 1 NPI

Kermit Johnson, LCDC

Addiction (Substance Use Disorder) Counselor · San Antonio, TX

NPI number 1114723343 Active

Practice location

2015 NE Loop 410
San Antonio, TX 78217-5411

Call (210) 987-3366 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14034 (TX)

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

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About NPI 1114723343

Kermit Johnson, LCDC's National Provider Identifier is 1114723343, issued on Feb 19, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Antonio, TX. The record was last updated on Feb 19, 2025.