Individual provider · Type 1 NPI

Dewayne Edward Johnson

Mental Health Counselor · Lancaster, CA

NPI number 1609176098 Active

Practice location

506 W Jackman St
Lancaster, CA 93534-2531

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800X342234 (CA)

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About NPI 1609176098

Dewayne Edward Johnson's National Provider Identifier is 1609176098, issued on Nov 1, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lancaster, CA. The record was last updated on Dec 21, 2012.