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

Scott Charles Johnson, LACRADT-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033630033

Scott Charles Johnson, LACRADT-1 is an Addiction (Substance Use Disorder) Counselor in Bermuda Dunes, California. Practices as a sole proprietor and works from 2 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2017

Practice location Address checks out

40853 Cecina Way
Bermuda Dunes, CA 92203-1171
Phone: (760) 406-3646
Show map & directions

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

Additional practice locations (1)

  • 7885 Annandale Ave, Desert Hot Springs, CA 92240-1419 — (760) 329-2924

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1305 (ND)

Record details

NPI number1033630033
Entity typeIndividual (Type 1)
GenderMale
Credentials LACRADT-1
Sole proprietorYes
NPI enumeratedJune 29, 2017
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020