Johnson, Raphael Gidharry

Johnson, Raphael Gidharry is an sole proprietor health care provider with primary practice located at 1753 N. Country Ln. , Pasadena CA 91107-1104. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Johnson, Raphael Gidharry can be contacted via phone (213) 700-4324.

Contact Information

Primary practice address
1753 N. Country Ln. Pasadena CA 91107-1104
Phone: (213) 700-4324
Fax: (626) 797-7064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY24051 California

Profile Details

NPI number 1295253953
LBN Legal business name Johnson, Raphael Gidharry
Credentials PH.D., LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2017
Last updated Sep 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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