Johnson, David Allen

Johnson, David Allen is an sole proprietor health care provider with primary practice located at 3176 Lancer St , Portage IN 46368-4408. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Johnson, David Allen can be contacted via phone (219) 763-8847.

Contact Information

Primary practice address
3176 Lancer St Portage IN 46368-4408
Phone: (219) 763-8847
Fax: (219) 762-7318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000461A Indiana
Behavioral Health & Social Service Providers / Social Worker 104100000X 33007055A Indiana

Profile Details

NPI number 1811223407
LBN Legal business name Johnson, David Allen
Credentials MSW, LSW, LCAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2009
Last updated Sep 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers