Individual
DR. JASON ALAN JOHNSON
Active
Individual
DR. JASON ALAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08-08-25
OR
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
3055
OR
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
10/29/2007
Last updated
06/14/2023
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