Individual provider · Type 1 NPI
Dwight Johnson, SAC
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1538464136
Active
Practice location
6815 N 68th Street
Milwaukee, WI 53216
Mailing address
2462 N 5th St
Milwaukee, WI 53212-2704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15616-131 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1538464136
Dwight Johnson, SAC's National Provider Identifier is 1538464136, issued on Jan 13, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 13, 2011.