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General NPI Number Information
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NPI Number | 1629595673
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Entity Type | Individual
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Provider Name | JOHNNY PEREZ LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 29340 THE OLD RD
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City | CASTAIC
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State | CA
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Zip | 91384-2905
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Country | US
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Telephone | 661-257-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 19338 WELBY WAY
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City | RESEDA
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State | CA
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Zip | 91335-4921
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Country | US
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Telephone | 562-686-5866
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 778-R
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C061540620
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 132464
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License Number State | CA
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