Individual provider · Type 1 NPI

Reggie Johnson

Addiction (Substance Use Disorder) Counselor · Ny, NY

NPI number 1053731034 Active

Practice location

177 East 122nd Street
Ny, NY 10035

Mailing address

1030 Park Pl
Brooklyn, NY 11213-1902

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24465 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053731034

Reggie Johnson's National Provider Identifier is 1053731034, issued on Apr 17, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ny, NY. The record was last updated on Apr 17, 2014.