Individual provider · Type 1 NPI
Ray C. Johnson, MS, LPC, LISAC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1467772194
Active
Practice location
5340 N 12th St
Phoenix, AZ 85014-2903
Fax (602) 274-0312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC - 11495 (AZ) |
| Professional Counselor | 101YP2500X | LPC - 10960 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467772194
Ray C. Johnson, MS, LPC, LISAC's National Provider Identifier is 1467772194, issued on Jun 4, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 4, 2010.