Individual
CHARLES DUSTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ED.S.
Contact information
Practice address
2625 REDWING RD STE 110, FORT COLLINS, CO 80526-2878
(970) 444-2815
Mailing address
2625 REDWING RD STE 110, FORT COLLINS, CO 80526-2878
(970) 480-0707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC0011971
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC0011971
CO
101YM0800X
Mental Health Counselor
LPC0011971
CO
101YP2500X
Professional Counselor
LPC0011971
CO
Other
Enumeration date
03/12/2013
Last updated
04/02/2025
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