James Kristoff Johansen
Social Worker, Clinical in Hollywood, CA. Individual provider (NPI-1).
NPI number1669947966
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1669947966
- Entity type
- Individual (NPI-1)
- Name
- James Kristoff Johansen
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2018
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW97882 | CA | Yes |
| 104100000X | Social Worker | ASW75667 | CA |
Practice location
6450 W Sunset Blvd # 1255Hollywood, CA 90028-7315
Phone 619-359-9783
Mailing address
3767 Central AveSan Diego, CA 92105-2506
Phone 619-278-0777
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