Individual provider · Type 1 NPI
Antwine Deon Johnson Sr., LCADC
Addiction (Substance Use Disorder) Counselor · Pennsauken, NJ
NPI number
1861114944
Active
Practice location
2131 46th St
Pennsauken, NJ 08110-2011
Mailing address
761 Cuthbert Blvd
Cherry Hill, NJ 08002-3417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00332600 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Pennsauken
About NPI 1861114944
Antwine Deon Johnson Sr., LCADC's National Provider Identifier is 1861114944, issued on Sep 14, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pennsauken, NJ. The record was last updated on Sep 14, 2022.