Individual
DR. CLIFFORD ALAN JOHANNSEN
Active
Individual
DR. CLIFFORD ALAN JOHANNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0935
OR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0935
OR
103TB0200X
Cognitive & Behavioral Psychologist
0935
OR
103TC0700X
Clinical Psychologist
0935
OR
103TC2200X
Clinical Child & Adolescent Psychologist
0935
OR
103TF0200X
Forensic Psychologist
0935
OR
103TP2701X
Group Psychotherapy Psychologist
Primary
0935
OR
106H00000X
Marriage & Family Therapist
0935
OR
Other
Enumeration date
04/16/2007
Last updated
09/11/2025
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