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NPI Code Detail

MEDICARE: DAVID JOHNSON LPCC

MEDICARE:   DAVID  JOHNSON  LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor15441CA

General Provider Information

NPI Number : 1003534264
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JOHNSON LPCC
Provider Business Mailing Address
First Line : 5321 VIA MARISOL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-4883
Country : US
Telephone Number : 312-964-4649
Fax Number :
Provider Business Practice Location Address
First Line : 5321 VIA MARISOL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-4883
Country : US
Telephone Number : 312-964-4649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2022
Last Update Date : 06/16/2026

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Directions to “ DAVID JOHNSON LPCC” Practice Location

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