ANTWINE DEON JOHNSON

PENNSAUKEN, NJ
NPI1861114944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37lc00332600)
Enumeration Date2022-09-14
Last Update Date2022-09-14
Business Address
ANTWINE DEON JOHNSON LCADC
2131 46TH ST
PENNSAUKEN, NJ 08110-2011
Phone number: 609-707-3444
Mailing Address
ANTWINE DEON JOHNSON LCADC
761 CUTHBERT BLVD
CHERRY HILL, NJ 08002-3417
Phone number: 856-890-9449