Individual provider · Type 1 NPI

Keith Michael Johnson, C.A.S.A.C.

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1780937821 Active

About NPI 1780937821

Keith Michael Johnson, C.A.S.A.C.'s National Provider Identifier is 1780937821, issued on Oct 25, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Oct 25, 2012.