Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT CHARLES JOHNSON, LAC RADT-1
Active Sole ProprietorSCOTT CHARLES JOHNSON, LAC RADT-1 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BERMUDA DUNES, California. NPI 1033630033 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BERMUDA DUNES, CA
Registration Details
- NPI Number
- 1033630033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2017 (9.1151497929894 yrs)
- Last Updated
- Jul 24, 2020
- License
-
1305 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
40853 CECINA WAYBERMUDA DUNES, CA, 922031171Browse CA providers · Browse ZIP 92203
- Phone
- 17604063646
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.