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NPI Code Detail

MEDICARE: DYLAN JOHNSON LPCC

MEDICARE: DYLAN 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
1101Y00000XCounselorLPCC19854CA

General Provider Information

NPI Number : 1548128085
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYLAN JOHNSON LPCC
Provider Business Mailing Address
First Line : 397 SILVER AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94112-1509
Country : US
Telephone Number : 570-316-1312
Fax Number :
Provider Business Practice Location Address
First Line : 397 SILVER AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94112-1509
Country : US
Telephone Number : 570-316-1312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ DYLAN JOHNSON LPCC” Practice Location

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