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

I'Nesa Mae Johnson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013608041

I'Nesa Mae Johnson is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
4

Practice location Address checks out

12021 Wilmington Ave Ste 2B
Los Angeles, CA 90059-3019
Phone: (310) 221-6336
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1013608041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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