Individual
MR. JOHANN OCHOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCADC, LAC
Contact information
Practice address
3900 WOODLAND AVE BLDG 3, PHILADELPHIA, PA 19104-4551
(215) 823-4045
Mailing address
14 BUTTS AVE, BORDENTOWN, NJ 08505-2214
(609) 462-6728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00298500
NJ
101YM0800X
Mental Health Counselor
37AC00464100
NJ
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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