Individual
ROBERT ADAM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUD COUNSELOR
Contact information
Practice address
2219 ODESSA CT, LEMON GROVE, CA 91945-3609
(619) 461-4871
Mailing address
2219 ODESSA CT, LEMON GROVE, CA 91945-3609
(619) 461-4871
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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