Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarence Anthony Johnson III

Individual provider Peer Specialist · NPI 1700599867

Clarence Anthony Johnson III is a Peer Specialist in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

6145 Imperial Ave
San Diego, CA 92114-4213
Phone: (619) 234-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1700599867
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

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