Individual provider · Type 1 NPI

Keith Johnson

Addiction (Substance Use Disorder) Counselor · Santa Fe Springs, CA

NPI number 1457075772 Active

Practice location

11015 Bloomfield Ave
Santa Fe Springs, CA 90670-4601

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1457075772

Keith Johnson's National Provider Identifier is 1457075772, issued on Sep 29, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Fe Springs, CA. The record was last updated on May 2, 2023.