Individual provider · Type 1 NPI
Roy Alan Johnston, L.I.S.A.C
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1760681985
Active
Practice location
4041 N. Central Ave, Building C
Phoenix, AZ 85012-3133
Fax (602) 279-5390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC11403 (AZ) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-11403 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1760681985
Roy Alan Johnston, L.I.S.A.C's National Provider Identifier is 1760681985, issued on Jul 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 5, 2014.