Individual provider · Type 1 NPI

Willie Clay Johnson, CAS

Addiction (Substance Use Disorder) Counselor · Indio, CA

NPI number 1548446362 Active

Practice location

44374 Palm St
Indio, CA 92201-3117

Fax (760) 347-8276

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X01-037311 (CA)

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

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About NPI 1548446362

Willie Clay Johnson, CAS's National Provider Identifier is 1548446362, issued on Jan 10, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indio, CA. The record was last updated on Jan 10, 2008.