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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None 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.