KEITH MICHAEL JOHNSON

JAMAICA, NY
NPI1780937821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-10-25
Last Update Date2012-10-25
Business Address
-- KEITH MICHAEL JOHNSON C.A.S.A.C.
16812 127TH AVE APT # 7E
JAMAICA, NY 11434-3152
Phone number: 347-466-0698
Mailing Address
-- KEITH MICHAEL JOHNSON C.A.S.A.C.
16812 127TH AVE APT # 7E
JAMAICA, NY 11434-3152
Phone number: 347-466-0698
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