Individual provider · Type 1 NPI
Lisa Yvonne Johnson
Addiction (Substance Use Disorder) Counselor · Carson, CA
NPI number
1285066753
Active
Practice location
21828 Avalon Blvd
Carson, CA 90745-3303
Fax (424) 477-5146
Mailing address
21828 S. Avalon Blvd
Carson, CA 90745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 01-139400 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1285066753
Lisa Yvonne Johnson's National Provider Identifier is 1285066753, issued on Aug 6, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Carson, CA. The record was last updated on Aug 6, 2013.