Antwine D Johnson Sr., LCADC
Counselor, Addiction (Substance Use Disorder) in Pennsauken, New Jersey
1861114944- Practice location
- 2131 46TH St, Pennsauken, NJ 08110-2011
- Phone
- 609-707-3444
- Fax
- —
- Last updated
- September 14, 2022
Antwine Deon Johnson is a Counselor, Addiction (Substance Use Disorder) based in Pennsauken, NJ. Antwine Deon Johnson practices in Pennsauken, NJ and has the professional credentials of LCADC. The NPI Number for Antwine Deon Johnson is 1861114944 and holds a License No. 37lc00332600 (NJ). The current practice location address for Antwine Deon Johnson is 2131 46TH St, Pennsauken, NJ 08110-2011 and can be reached out via phone at 609-707-3444.
Provider Profile Details
- NPI Number
- 1861114944
- Provider Name
- Antwine Deon Johnson
- Credential
- LCADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2131 46TH St, Pennsauken, NJ 08110-2011
- Phone Number
- 609-707-3444
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 14, 2022
- Last Update Date
- September 14, 2022
- Certification Date
- September 14, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2131 46TH St
Pennsauken, NJ 08110-2011 - City
- Pennsauken
- State
- New Jersey
- Zip
- 08110-2011
- Phone Number
- 609-707-3444
Provider Business Mailing Address Details
- Address
- 761 Cuthbert Blvd
Cherry Hill, NJ 08002-3417 - City
- Cherry Hill
- State
- NJ
- Zip
- 08002-3417
- Phone Number
- 856-890-9449
License Information
- License Number
- 37lc00332600
- License State
- NJ
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Antwine D Johnson Sr., LCADC?
The NPI number of Antwine D Johnson Sr., LCADC is 1861114944. It was assigned on September 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Antwine D Johnson Sr., LCADC?
Antwine D Johnson Sr., LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37lc00332600.
Where does Antwine D Johnson Sr., LCADC practice?
The practice location is 2131 46TH St, Pennsauken, NJ 08110-2011. The office can be reached at 609-707-3444 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861114944 directly on the NPPES registry website.