PENNY JOHNSON CADC II CACCS NPI 1558696435

NPI Information

  • NPI: 1558696435
  • Provider Name: PENNY JOHNSON, CADC II, CACCS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4974 EL CAJON BLVD
    SUITE A
    SAN DIEGO, CA
    ZIP 92115
  • Phone: (619) 286-4600

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NPI Details

Penny Johnson, CADC II, CACCS is an addiction (substance use disorder) counselor in San Diego, CA. Penny Johnson, CADC II, CACCS NPI is 1558696435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4974 EL CAJON BLVD
SUITE A
SAN DIEGO, CA
ZIP 92115-677
Phone: (619) 286-4600
Fax: (619) 286-0060

The enumeration date for this NPI number is 10/9/2009 and was last updated on 10/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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