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General NPI Number Information
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NPI Number | 1952253031
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Entity Type | Individual
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Provider Name | DIONTRE JOHNSON
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Gender | Male
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 13684 JEREMY CT
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-2031
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Country | US
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Telephone | 909-803-0376
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Fax |
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Provider Business Mailing Address
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Address Line | 2568 BASELINE ST APT 208
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City | HIGHLAND
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State | CA
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Zip | 92346-2846
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Country | US
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Telephone | 909-476-2023
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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 |
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License Number State | CA
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