Individual
JOHN HENRY JOHNSON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
24 MALLARD CT, BECKLEY, WV 25801-3664
(304) 252-8409
(304) 252-0022
Mailing address
PO BOX 1025, BECKLEY, WV 25802-1025
(304) 252-8409
(304) 252-0022
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
DP00454329
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116688000
—
WV
Enumeration date
12/20/2005
Last updated
07/08/2007
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