Individual provider · Type 1 NPI
Odell Johnson
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1609254416
Active
Practice location
1150 N. 4th St
San Jose, CA 95112
Mailing address
75 Perry St Apt 111
Redwood City, CA 94063-1542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609254416
Odell Johnson's National Provider Identifier is 1609254416, issued on May 13, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on May 13, 2015.