Individual provider · Type 1 NPI

Clarence Anthony Johnson Iii

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1700599867 Active

Practice location

6145 Imperial Ave
San Diego, CA 92114-4213

Call (619) 234-8888 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1700599867

Clarence Anthony Johnson Iii's National Provider Identifier is 1700599867, issued on Jan 3, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Apr 27, 2023.