person
Derwin Johnson
Addiction (Substance Use Disorder) Counselor in Roosevelt, New York
NPI 1720236219

Derwin Johnson is an Addiction (Substance Use Disorder) Counselor based in Roosevelt, NY and is specialized in Addiction (Substance Use Disorder). Derwin Johnson practices in Roosevelt, NY. The NPI Number for Derwin Johnson is 1720236219 and holds a License No. 19272 (New York).

The current practice location address for Derwin Johnson is 380 Nassau Rd, Roosevelt, NY and can be reached out via phone at 516-623-7741 and via fax at 516-623-7775.

Location: 380 Nassau Rd, Roosevelt, NY, 11575-2224
person
Provider Profile Details
NPI Number
1720236219
Provider Name
Derwin Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
380 Nassau Rd, Roosevelt, NY, 11575-2224
Phone Number
516-623-7741
Fax Number
516-623-7775
Provider Enumeration Date
09/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
380 Nassau Rd
City
State
Zip
11575-1343
Phone Number
516-623-7741
Fax Number
516-623-7775
person
Provider Business Mailing Address Details
Address
380 Nassau Rd
City
State
Zip
11575-1343
Phone Number
516-623-7741
Fax Number
516-623-7775
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19272 (New York)
Definition
Definition to come...
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