person
Matthew Evan Johnson
Addiction (Substance Use Disorder) Counselor in Johnston, Rhode Island
NPI 1649738428

Matthew Evan Johnson is an Addiction (Substance Use Disorder) Counselor based in Providence, RI and is specialized in Addiction (Substance Use Disorder). Matthew Evan Johnson practices in Johnston, RI. The NPI Number for Matthew Evan Johnson is 1649738428 and holds a License No. CDP00775 (Rhode Island).

The current practice location address for Matthew Evan Johnson is 1443 Hartford Ave, Johnston, RI and can be reached out via phone at 401-273-8100 and via fax at 401-861-8696. You can also correspond with Matthew Evan Johnson through the mailing address at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI - 02905-4513 (mailing address contact number: 401-444-6779).

Location: 1443 Hartford Ave, Johnston, RI, 02905-4513
person
Provider Profile Details
NPI Number
1649738428
Provider Name
Matthew Evan Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1443 Hartford Ave, Johnston, RI, 02905-4513
Phone Number
401-273-8100
Fax Number
401-861-8696
Provider Enumeration Date
03/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDP00775 01 RI LCDP
institution
Provider Business Practice Location Address Details
Address
1443 Hartford Ave
City
State
Zip
02919
Phone Number
401-273-8100
Fax Number
401-861-8696
person
Provider Business Mailing Address Details
Address
1443 Hartford Ave
City
State
Zip
02919
Phone Number
401-273-8100
Fax Number
401-861-8696
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDP00775 (Rhode Island)
Definition
Definition to come...
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