IndividualActive
.stephan Johnson
NPI 1396986394 · Addiction (Substance Use Disorder) Counselor · Vallejo, CA
Provider details
- NPI number
- 1396986394
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1017 Tennessee St
Vallejo, CA 94590-4547
Phone: (707) 647-1520
Approximate (ZIP-level) locationGet directions
Mailing address
1017 Tennessee St
Vallejo, CA 94590-4547
Registry dates
- Enumerated
- 2009-03-20
- Last updated
- 2009-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.