Individual provider · Type 1 NPI
Colleen Casey Johnson, LCDC
Addiction (Substance Use Disorder) Counselor · Fort Worth, TX
NPI number
1003411182
Active
Practice location
3840 Hulen St
Fort Worth, TX 76107-7277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14554 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003411182
Colleen Casey Johnson, LCDC's National Provider Identifier is 1003411182, issued on Dec 4, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 4, 2020.