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

Jack Lee Johnson II

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093284382

Jack Lee Johnson II is an Addiction (Substance Use Disorder) Counselor in Pasadena, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1680 N Fair Oaks
Pasadena, CA 91104
Phone: (210) 241-0481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1093284382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2018
Last updated in NPPESNovember 16, 2018

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