# AMANDA ROXANNE JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619246063
- **Gender:** F
- **Credential:** CHA-III

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 172V00000X | Community Health Worker | 11-1129-II | AK | — |

## Other

- **Enumeration date:** 12/14/2011
- **Last updated:** 12/10/2014