Individual provider · Type 1 NPI

Matthew B. Johnson, B.S.

Addiction (Substance Use Disorder) Counselor · Syracuse, NY

NPI number 1619684412 Active

Practice location

319 E Water St
Syracuse, NY 13202-1123

Mailing address

2094 Kypriotis Dr
Cortland, NY 13045-9538

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1619684412

Matthew B. Johnson, B.S.'s National Provider Identifier is 1619684412, issued on Nov 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Syracuse, NY. The record was last updated on Nov 1, 2022.