Individual
MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., M.DIV
Contact information
Practice address
2450 WINFIELD DUNN PKWY, KODAK, TN 37764-2100
(865) 805-0567
Mailing address
2450 WINFIELD DUNN PKWY, KODAK, TN 37764-2100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TN
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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