Individual provider · Type 1 NPI
Fannie Shariee Johnson, MEDICAL ASISSITANT
Addiction (Substance Use Disorder) Counselor · Denver, CO
NPI number
1245491422
Active
Practice location
19549 Randolph Pl
Denver, CO 80249-8609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0021128 (CO) |
| Licensed Practical Nurse | 164W00000X | 0335945 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1245491422
Fannie Shariee Johnson, MEDICAL ASISSITANT's National Provider Identifier is 1245491422, issued on Jun 20, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Denver, CO. The record was last updated on Apr 24, 2023.