Anthony Johnson Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Moncks Corner, SC
- NPI
- 1376015222
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 173 (SC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-12-17
- Last updated
- 2018-12-17
Practice location
306 Airport Drive
Moncks Corner, SC 29461
(843) 761-8272