ANTHONY JOHNSON

MONCKS CORNER, SC
NPI1376015222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC  173)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
ANTHONY JOHNSON
306 AIRPORT DRIVE
MONCKS CORNER, SC 29461
Phone number: 843-761-8272
Mailing Address
ANTHONY JOHNSON
306 AIRPORT DR
MONCKS CORNER, SC 29461-2629
Phone number: