Individual provider · Type 1 NPI
Anthony Johnson
Addiction (Substance Use Disorder) Counselor · Moncks Corner, SC
NPI number
1376015222
Active
Practice location
306 Airport Drive
Moncks Corner, SC 29461
Mailing address
306 Airport Dr
Moncks Corner, SC 29461-2629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 173 (SC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376015222
Anthony Johnson's National Provider Identifier is 1376015222, issued on Dec 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moncks Corner, SC. The record was last updated on Dec 17, 2018.