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Individual

MS. SHARON ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
931 COLUMBUS AVE, NEW YORK, NY 10025-3707
(212) 864-4128
(212) 864-7987
Mailing address
931 COLUMBUS AVE, NEW YORK, NY 10025-3707
(212) 864-4128
(212) 864-7987

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6444
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SJNYFC52
NY
Enumeration date
04/28/2009
Last updated
04/28/2009
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