Scott Charles Johnson, LAC RADT-1
NPI #1033630033 in Bermuda Dunes, California
Provider Information
- NPI Number
- 1033630033
- Entity Type
- Individual
- Name
- Scott Charles Johnson, LAC RADT-1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LAC RADT-1
- Enumeration Date
- Jun 29, 2017
- Last Updated
- Jul 24, 2020
Practice Location
- Address
- 40853 CECINA WAY
- City
- Bermuda Dunes
- State
- California
- ZIP Code
- 92203-1171
- Phone
- 17604063646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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