Individual
MR. DAVID RICHARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., MSAOM, L.AC.
Contact information
Practice address
1156 E RIDGEWOOD AVE, SUITE 4, RIDGEWOOD, NJ 07450-3935
(201) 670-8443
(201) 612-7654
Mailing address
63 SUMMIT AVE, WALDWICK, NJ 07463-1915
(201) 670-8443
(201) 612-7654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
44SW05189900
NJ
101YM0800X
Mental Health Counselor
44SW05189900
NJ
104100000X
Social Worker
44SW05189900
NJ
171100000X
Acupuncturist
Primary
25MZ00053200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MZ00053200
NEW JERSEY ACUPUNCTURE LICENSE NUMBER
NJ
Enumeration date
01/09/2007
Last updated
12/13/2019
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