MS. MITZI JOHNSON CAADE
NPI 1750740825
Counselor - Addiction (Substance Use Disorder) in Pomona, CA
Active since February 18, 2016
About Ms. Mitzi Johnson Caade NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MITZI JOHNSON CAADE (NPI 1750740825) is an individual addiction (substance use disorder) provider in Pomona, California, licensed in California (J1002121220) and active in the NPI registry since February 2016.
NPPES Registry Identity
NPI1750740825
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MITZI JOHNSONCredential: CAADE
Location Address845 E ARROW HWYPomona, CA 91767-2535
Mailing Address4361 Mission Blvd Spc 141Montclair, CA 91763-6062 · (909) 541-6550
Phone(909) 624-1233
Sole ProprietorYes
Enumeration DateFebruary 18, 2016
✔ NPI 1750740825 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · J1002121220
845 E ARROW HWY, Pomona, CA 91767
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.
Substance Abuse Rehabilitation Facility
845 E ARROW HWY
POMONA, CA 91767
POMONA, CA 91767
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750740825, enumerated as an "individual" on February 18, 2016.
The provider is located at 845 E ARROW HWY POMONA, CA 91767 and the phone number is (909) 624-1233.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).