TIMOTHY LEE JOHNSON

EBENSBURG, PA
NPI1760975486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-07
Last Update Date2018-06-07
Business Address
TIMOTHY LEE JOHNSON BS
499 MANOR DR
EBENSBURG, PA 15931-4917
Phone number: 814-471-1801
Mailing Address
TIMOTHY LEE JOHNSON BS
499 MANOR DR
EBENSBURG, PA 15931-4917
Phone number: 814-471-1801