Individual
COREY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
8031 WEST CENTER RD, SUITE 305, OMAHA, NE 68124
(402) 235-8341
Mailing address
8031 W CENTER RD STE 305, OMAHA, NE 68124-3134
(402) 235-8341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1580
NE
Other
Enumeration date
06/29/2022
Last updated
05/23/2024
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