Provider Demographics
NPI:1760725212
Name:MCPHERSON, JOHN JUWAN
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:JUWAN
Last Name:MCPHERSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14540 HAMLIN ST
Mailing Address - Street 2:SUITE #I
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1626
Mailing Address - Country:US
Mailing Address - Phone:818-997-6876
Mailing Address - Fax:
Practice Address - Street 1:14540 HAMLIN ST
Practice Address - Street 2:SUITE #I
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1626
Practice Address - Country:US
Practice Address - Phone:818-997-6876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)