Individual
MR. DAVID ALLEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LCAC,MAC
Contact information
Practice address
4801 SOUTHWICK DR STE 300, MATTESON, IL 60443-2279
(708) 747-2655
(708) 747-2655
Mailing address
3176 LANCER ST, PORTAGE, IN 46368-4408
(219) 763-8847
(219) 762-7318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000461A
IN
104100000X
Social Worker
33007055A
IN
1041C0700X
Clinical Social Worker
Primary
149.028252
IL
Other
Enumeration date
11/02/2009
Last updated
08/14/2025
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