| Doctor Name: | DR. DANIEL JOHNSON |
| NPI Number: | 1659423119 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, LCPC |
| License Number: | CC1217 |
| Business Practice Address: | 1 Fernald Point Rd Southwest Harbor, ME - 046794614 |
| Business Phone Number: | 2072444012 |
| Business Fax Number: | 2072444013 |
| Mailing Address: | Po Box 807, 1 Fernald Point Road SOUTHWEST HARBOR |
| State: | ME |
| Postal Code: | 046790807 |
| Phone Number: | 2072444012 |
| Fax Number: | 2072444013 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 06/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC1217 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |