Individual provider · Type 1 NPI

Tyler Johnson

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1205462934 Active

Practice location

159 Brentwood Dr
Grass Valley, CA 95945-5703

Call (530) 271-1140 Map

Mailing address

PO Box 6028
Auburn, CA 95604-6028

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 1205462934

Tyler Johnson's National Provider Identifier is 1205462934, issued on Mar 13, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Mar 13, 2020.