Individual
KIRK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 261-0705
(609) 261-8120
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2016-000209
NJ
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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