person
Annie R Johnson, LCADC
Addiction (Substance Use Disorder) Counselor in Newark, New Jersey
NPI 1558016055

Annie R Johnson is an Addiction (Substance Use Disorder) Counselor based in Newark, NJ and is specialized in Addiction (Substance Use Disorder). Annie R Johnson practices in Newark, NJ and has the professional credentials of LCADC. The NPI Number for Annie R Johnson is 1558016055 and holds a License No. 37LCOOO63500 (New Jersey).

The current practice location address for Annie R Johnson is 300 S 12Th St, Newark, NJ and can be reached out via phone at 973-622-4934 and via fax at 973-622-5820.

Location: 300 S 12Th St, Newark, NJ, 07103-1960
person
Provider Profile Details
NPI Number
1558016055
Provider Name
Annie R Johnson
Credential
LCADC
Provider Entity Type
Individual
Gender
Female
Address
300 S 12Th St, Newark, NJ, 07103-1960
Phone Number
973-622-4934
Fax Number
973-622-5820
Provider Enumeration Date
02/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 S 12Th St
City
State
Zip
07103-1960
Phone Number
973-622-4934
Fax Number
973-622-5820
person
Provider Business Mailing Address Details
Address
300 S 12Th St
City
State
Zip
07103-1960
Phone Number
973-622-4934
Fax Number
973-622-5820
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LCOOO63500 (New Jersey)
Definition
Definition to come...
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