Individual
MR. BRYAN CHRISTOPHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
20051 SW BIRCH ST, NEWPORT BEACH, CA 92660-1719
(949) 490-4052
(949) 490-4053
Mailing address
20051 SW BIRCH ST, NEWPORT BEACH, CA 92660-1719
(949) 490-4052
(949) 490-4053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
140151
CA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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