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Individual
SHANA JOHNSON
Active
Individual
SHANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
ASW120269
CA
1041C0700X
Clinical Social Worker
ASW120269
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
AC BHCS CLINICIAN # 00
CA
Enumeration date
10/30/2013
Last updated
05/14/2025
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