Individual
DR. RAPHAEL GIDHARRY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
1753 N. COUNTRY LN., PASADENA, CA 91107-1104
(213) 700-4324
(626) 797-7064
Mailing address
1753 N. COUNTRY LN., PASADENA, CA 91107-1104
(213) 700-4324
(626) 797-7064
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSY24051
CA
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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