NPI 1023353422

Herstine Johnson, RAS

Practitioner Addiction (Substance Use Disorder) Counselor Compton, CA

Practice location

Address: 1450 E Compton Blvd # 115, Compton, CA 90221-3403
Phone: (310) 669-8673

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence RI-J0505021432 (CA)

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Registry record

NPI: 1023353422
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2012
Record last updated: 11 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.