person
Willie Clay Johnson, CAS
Addiction (Substance Use Disorder) Counselor in Indio, California
NPI 1548446362

Willie Clay Johnson is an Addiction (Substance Use Disorder) Counselor based in Indio, CA and is specialized in Addiction (Substance Use Disorder). Willie Clay Johnson practices in Indio, CA and has the professional credentials of CAS. The NPI Number for Willie Clay Johnson is 1548446362 and holds a License No. 01-037311 (California).

The current practice location address for Willie Clay Johnson is 44374 Palm St, Indio, CA and can be reached out via phone at 760-342-6616 and via fax at 760-347-8276.

Location: 44374 Palm St, Indio, CA, 92201-3117
person
Provider Profile Details
NPI Number
1548446362
Provider Name
Willie Clay Johnson
Credential
CAS
Provider Entity Type
Individual
Gender
Male
Address
44374 Palm St, Indio, CA, 92201-3117
Phone Number
760-342-6616
Fax Number
760-347-8276
Provider Enumeration Date
01/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44374 Palm St
City
State
Zip
92201-3117
Phone Number
760-342-6616
Fax Number
760-347-8276
person
Provider Business Mailing Address Details
Address
44374 Palm St
City
State
Zip
92201-3117
Phone Number
760-342-6616
Fax Number
760-347-8276
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
01-037311 (California)
Definition
Definition to come...
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