Individual provider · Type 1 NPI

Reginald Johnson, SCA-IT

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1831564814 Active

Practice location

3707 N Richards St
Milwaukee, WI 53212-1673

Fax (414) 967-7020

Mailing address

7314 W Burleigh St, Apt 3
Milwaukee, WI 53210-1082

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16415-130 (WI)

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

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About NPI 1831564814

Reginald Johnson, SCA-IT's National Provider Identifier is 1831564814, issued on Dec 2, 2015. 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 Dec 2, 2015.