| Doctor Name: | DAVID JOHNSON |
| NPI Number: | 1396978003 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | CAP 3095 |
| Business Practice Address: | 1861 S Patrick Dr Box 166 Indian Harbour Beach, FL - 329374377 |
| Business Phone Number: | 3216934573 |
| Business Fax Number: | 3216108880 |
| Mailing Address: | 1861 S Patrick Dr, Box 166 INDIAN HARBOUR BEACH |
| State: | FL |
| Postal Code: | 329374377 |
| Phone Number: | 3216934573 |
| Fax Number: | 3216108880 |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 08/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CAP 3095 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |