Provider Demographics
NPI:1942399084
Name:SILVER, JOHANNA S (CATC)
Entity Type:Individual
Prefix:MS
First Name:JOHANNA
Middle Name:S
Last Name:SILVER
Suffix:
Gender:F
Credentials:CATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ORCHESTRA LN
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-2873
Mailing Address - Country:US
Mailing Address - Phone:949-855-9539
Mailing Address - Fax:
Practice Address - Street 1:14795 JEFFERY RD
Practice Address - Street 2:SUITE 270
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:949-654-9163
Practice Address - Fax:949-654-8207
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)