Individual provider · Type 1 NPI

Clarence Johnson, CADC III

Counselor · Wauwatosa, WI

NPI number 1942317474 Active

Practice location

1220 Dewey Ave
Wauwatosa, WI 53213-2598

Call (414) 454-6707 Map

Fax (414) 454-6747

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1876 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1942317474

Clarence Johnson, CADC III's National Provider Identifier is 1942317474, issued on Aug 23, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Jul 8, 2007.