Individual provider · Type 1 NPI

Ottis Johnson, C.A.S.

Addiction (Substance Use Disorder) Counselor · Lake Elsinore, CA

NPI number 1497889182 Active

Practice location

565 Chaney St
Lake Elsinore, CA 92530-2722

Fax (951) 674-5227

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X03-039448 (CA)

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

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About NPI 1497889182

Ottis Johnson, C.A.S.'s National Provider Identifier is 1497889182, issued on Mar 15, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jul 8, 2007.