Individual
ANWAR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
443 E VERNON RD, PHILADELPHIA, PA 19119-1951
(215) 964-8298
Mailing address
443 E VERNON RD, PHILADELPHIA, PA 19119-1951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC012468
PA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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