Individual provider · Type 1 NPI

Mary Johnson

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1316563596 Active

Practice location

1207 E Fruit St
Santa Ana, CA 92701-4296

Call (714) 953-9373 Map

Mailing address

1330 S Citrus Ave Apt 17
Fullerton, CA 92833-4749

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1521070823 (CA)

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

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About NPI 1316563596

Mary Johnson's National Provider Identifier is 1316563596, issued on Jun 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Sep 26, 2023.