Individual
CASEY SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 ALBERTA CT, SEWELL, NJ 08080-1803
(856) 305-1993
Mailing address
9 HARDING HWY, PITTSGROVE, NJ 08318-4401
(856) 358-4111
(856) 358-4120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00262700
NJ
104100000X
Social Worker
44SL06329500
NJ
Other
Enumeration date
07/09/2012
Last updated
01/28/2025
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