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Mr. Kenneth Wayne Johnson I
Addiction (Substance Use Disorder) Counselor in Concord, California
NPI 1033483946

Kenneth Wayne Johnson I is an Addiction (Substance Use Disorder) Counselor based in Concord, CA and is specialized in Addiction (Substance Use Disorder). Kenneth Wayne Johnson I practices in Concord, CA. The NPI Number for Kenneth Wayne Johnson I is 1033483946 and holds a License No. (California).

The current practice location address for Kenneth Wayne Johnson I is 2600 Stanwell Dr Ste 220, Concord, CA and can be reached out via phone at 925-363-5000.

Location: 2600 Stanwell Dr Ste 220, Concord, CA, 94520-4828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033483946
Provider Name
Kenneth Wayne Johnson I
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 Stanwell Dr Ste 220, Concord, CA, 94520-4828
Phone Number
925-363-5000
Fax Number
Provider Enumeration Date
02/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 Stanwell Dr Ste 220
City
Concord
State
California
Zip
94520-4828
Phone Number
925-363-5000
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Stanwell Dr Ste 220
City
Concord
State
California
Zip
94520-4828
Phone Number
925-363-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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