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Mary Alison Johnson, R1462450322
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1861142184

Mary Alison Johnson is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Mary Alison Johnson practices in Los Angeles, CA and has the professional credentials of R1462450322. The NPI Number for Mary Alison Johnson is 1861142184 and holds a License No. (California).

The current practice location address for Mary Alison Johnson is 453 S Indiana St, Los Angeles, CA and can be reached out via phone at 323-266-7726 and via fax at 323-266-7742.

Location: 453 S Indiana St, Los Angeles, CA, 90063-3908
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Provider Profile Details
NPI Number
1861142184
Provider Name
Mary Alison Johnson
Credential
R1462450322
Provider Entity Type
Individual
Gender
Female
Address
453 S Indiana St, Los Angeles, CA, 90063-3908
Phone Number
323-266-7726
Fax Number
323-266-7742
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 01 CA SUBSTANCE ABUSE
institution
Provider Business Practice Location Address Details
Address
453 S Indiana St
City
State
Zip
90063-3908
Phone Number
323-266-7726
Fax Number
323-266-7742
person
Provider Business Mailing Address Details
Address
453 S Indiana St
City
State
Zip
90063-3908
Phone Number
323-266-7726
Fax Number
323-266-7742
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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