DR. Raphael Gidharry Johnson, PH.D., LCSW

NPI #1295253953 in Pasadena, California

Provider Information

NPI Number: 1295253953
Entity Type: Individual
Name: DR. Raphael Gidharry Johnson, PH.D., LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Addiction (Substance Use Disorder)
Credential: PH.D., LCSW
Enumeration Date: Sep 1, 2017
Last Updated: Sep 1, 2017

Practice Location

Address: 1753 N. COUNTRY LN.
City: Pasadena
State: California
ZIP Code: 91107-1104
Phone: (213) 700-4324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X	Primary

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