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Reginald Johnson, SCA-IT
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1831564814

Reginald Johnson is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Reginald Johnson practices in Milwaukee, WI and has the professional credentials of SCA-IT. The NPI Number for Reginald Johnson is 1831564814 and holds a License No. 16415-130 (Wisconsin).

The current practice location address for Reginald Johnson is 3707 N Richards St, Milwaukee, WI and can be reached out via phone at 414-967-7006 and via fax at 414-967-7020.

Location: 3707 N Richards St, Milwaukee, WI, 53210-1082
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Provider Profile Details
NPI Number
1831564814
Provider Name
Reginald Johnson
Credential
SCA-IT
Provider Entity Type
Individual
Gender
Male
Address
3707 N Richards St, Milwaukee, WI, 53210-1082
Phone Number
414-967-7006
Fax Number
414-967-7020
Provider Enumeration Date
12/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780850594 05 WI
institution
Provider Business Practice Location Address Details
Address
3707 N Richards St
City
State
Zip
53212-1673
Phone Number
414-967-7006
Fax Number
414-967-7020
person
Provider Business Mailing Address Details
Address
3707 N Richards St
City
State
Zip
53212-1673
Phone Number
414-967-7006
Fax Number
414-967-7020
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16415-130 (Wisconsin)
Definition
Definition to come...
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