Individual provider · Type 1 NPI

Geannie R. Johnston, RADT-1

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1710865480 Active

Practice location

623 Great Jones St
Fairfield, CA 94533-6005

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1623900725 (CA)

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

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About NPI 1710865480

Geannie R. Johnston, RADT-1's National Provider Identifier is 1710865480, issued on Aug 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Aug 21, 2025.