MITCHELL EDWARD JOHNSON

BRONX, NY
NPI1326356452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  17767)
Enumeration Date2010-09-23
Last Update Date2010-09-23
Business Address
Mr. MITCHELL EDWARD JOHNSON CASAC
1776 CLAY AVE
BRONX, NY 10457-7239
Phone number: 347-603-5934
Mailing Address
Mr. MITCHELL EDWARD JOHNSON CASAC
1776 CLAY AVE
BRONX, NY 10457-7239
Phone number: 347-603-5934
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