MR. OTTIS JOHNSON, C.A.S.

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1497889182

Practice Address

565 CHANEY ST
Lake Elsinore, CA 92530

Phone: (951) 674-5354

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 03-039448 (CA)

Frequently Asked Questions

NPI 1497889182 is the National Provider Identifier for MR. OTTIS JOHNSON, C.A.S., a Counselor - Addiction (Substance Use Disorder) provider located in Lake Elsinore, CA. This NPI was enumerated on March 15, 2007.
MR. OTTIS JOHNSON, C.A.S. practices at 565 CHANEY ST, Lake Elsinore, CA 92530.

Quick Facts

NPI
1497889182
Type
Individual
Enumerated
Mar 15, 2007
Last Updated
Jul 8, 2007

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