Individual
GERALDINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
1080 E GUN HILL RD, BRONX, NY 10469-3742
(718) 653-1117
(718) 653-2112
Mailing address
1080 E GUN HILL RD, BRONX, NY 10469-3742
(718) 653-1117
(718) 653-2112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31971
—
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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