Individual provider · Type 1 NPI

Roosevelt N/a Johnson Jr.

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1841151644 Active

Practice location

1124 International Blvd
Oakland, CA 94606-4331

Call (510) 533-0800 Map

Mailing address

3308 School St
Oakland, CA 94602-3664

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1841151644

Roosevelt N/a Johnson Jr.'s National Provider Identifier is 1841151644, issued on Nov 20, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Nov 20, 2025.