person
Mr. Ottis Johnson, CAS
Addiction (Substance Use Disorder) Counselor in Lake Elsinore, California
NPI 1497889182

Ottis Johnson is an Addiction (Substance Use Disorder) Counselor based in Lake Elsinore, CA and is specialized in Addiction (Substance Use Disorder). Ottis Johnson practices in Lake Elsinore, CA and has the professional credentials of CAS. The NPI Number for Ottis Johnson is 1497889182 and holds a License No. 03-039448 (California).

The current practice location address for Ottis Johnson is 565 Chaney St, Lake Elsinore, CA and can be reached out via phone at 951-674-5354 and via fax at 951-674-5227. You can also correspond with Ottis Johnson through the mailing address at 565 CHANEY ST, LAKE ELSINORE, CA - 92530-2722 (mailing address contact number: 951-674-5354).

Location: 565 Chaney St, Lake Elsinore, CA, 92530-2722
person
Provider Profile Details
NPI Number
1497889182
Provider Name
Ottis Johnson
Credential
CAS
Provider Entity Type
Individual
Gender
Male
Address
565 Chaney St, Lake Elsinore, CA, 92530-2722
Phone Number
951-674-5354
Fax Number
951-674-5227
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
565 Chaney St
City
State
Zip
92530-2722
Phone Number
951-674-5354
Fax Number
951-674-5227
person
Provider Business Mailing Address Details
Address
565 Chaney St
City
State
Zip
92530-2722
Phone Number
951-674-5354
Fax Number
951-674-5227
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
03-039448 (California)
Definition
Definition to come...
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