Individual provider · Type 1 NPI

Wendy Regina Johnson, SUDRC

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

NPI number 1871144964 Active

Practice location

3575 Pershing Ave
San Diego, CA 92104-3413

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1362930919 (CA)

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

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About NPI 1871144964

Wendy Regina Johnson, SUDRC's National Provider Identifier is 1871144964, issued on Sep 20, 2019. 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 Sep 20, 2019.