ENNIS SCOTT SAMUEL JOHNSON
NPI 1265138713
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA
About Ennis Scott Samuel Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENNIS SCOTT SAMUEL JOHNSON (NPI 1265138713) is an individual addiction (substance use disorder) provider in San Rafael, California and active in the NPI registry since February 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ennis Johnson's NPI number?
The NPI number for Ennis Johnson is 1265138713. It was assigned to this individual provider in the NPPES registry on February 6, 2023.
Where is Ennis Johnson located?
Ennis Johnson practices at 1601 2nd St, San Rafael, CA 94901. The listed phone number is (415) 526-7810.
What is Ennis Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Ennis Johnson was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
