Individual
TRISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 MAIN ST, ELLENDALE, DE 19941-2066
(302) 300-3100
Mailing address
700 MAIN ST, ELLENDALE, DE 19941-2066
(302) 300-3100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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