Individual provider · Type 1 NPI

Theresa Johnson

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1992683593 Active

Practice location

220 Heberton Ave
Staten Island, NY 10302-1415

Call (718) 448-1900 Map

Fax (718) 448-1903

Mailing address

301 South Ave
Staten Island, NY 10303-1408

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 1992683593

Theresa Johnson's National Provider Identifier is 1992683593, issued on Aug 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Aug 22, 2025.