Individual
MR. GARY CHARLES JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
232 2ND ST, PIKEVILLE, KY 41501-3844
(606) 731-2440
Mailing address
112 CHESTNUT DR, PIKEVILLE, KY 41501-2018
(606) 213-3614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
03/12/2026
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