person
Reilly Johnson, CADC-I
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1073973582

Reilly Johnson is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Reilly Johnson practices in San Jose, CA and has the professional credentials of CADC-I. The NPI Number for Reilly Johnson is 1073973582 and holds a License No. CI5201215 (California).

The current practice location address for Reilly Johnson is 151 W Mission St, San Jose, CA and can be reached out via phone at 408-535-4002 and via fax at 408-280-7201.

Location: 151 W Mission St, San Jose, CA, 95110-1713
person
Provider Profile Details
NPI Number
1073973582
Provider Name
Reilly Johnson
Credential
CADC-I
Provider Entity Type
Individual
Gender
Male
Address
151 W Mission St, San Jose, CA, 95110-1713
Phone Number
408-535-4002
Fax Number
408-280-7201
Provider Enumeration Date
02/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CI5201215 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
151 W Mission St
City
State
Zip
95110-1713
Phone Number
408-535-4002
Fax Number
408-280-7201
person
Provider Business Mailing Address Details
Address
151 W Mission St
City
State
Zip
95110-1713
Phone Number
408-535-4002
Fax Number
408-280-7201
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CI5201215 (California)
Definition
Definition to come...
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